The specialist is responsible for preparing and submitting accurate medical insurance claims while managing claim denials through appeals and resubmissions. They must also stay updated on billing regulations and ensure compliance with all client and team policies.
Salary:PHP 25,000- PHP 35,000/ month
Job Description:
Ensure the preparation of accurate and compliant medical insurance claims for timely submission.
Oversee the submission of claims to insurance companies, ensuring adherence to deadlines to avoid delays in payments.
Address claim denials by coordinating resubmissions, crafting detailed appeal letters, and working toward resolutions.
Develop and implement proactive strategies to minimize claim denials, ensuring continuous improvement in billing processes.
Continuously stay updated on the latest billing requirements, guidelines, and regulations specific to various medical specialties, states, and insurance carriers. Adapt billing practices to ensure compliance with industry standards and streamline claim submission processes.
Follow all client and team policies, procedures, and guidelines to maintain consistency, compliance, and accuracy.
Minimum Qualifications:
Open to candidates with or without experience, though individuals with 1-5 years of medical billing experience will be given priority consideration.
Familiarity with various insurance policy types, including PPO, HMO, and MediCal, is preferred but not required.
Ability to navigate Healthcare Practice Management systems is a plus, though not mandatory.
Strong attention to detail, accuracy, and excellent time management skills are essential.
Must possess excellent communication skills in English, both written and verbal.
Proficient data entry skills, with a typing speed of 40 WPM or faster, are required.
Must demonstrate the ability to work with and protect confidential information.
Open to consultancy contract minimum of 6 months
Able to work from home with reliable internet and a backup connection.
Perks and Benefits:
Maternity & Paternity Leave
Government Contribution (SSS, Pag-ibig, Philhealth)
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