Medical Billing Consultant | Pooling
Vector Outsourcing Solutions Phils., Inc. Mandaluyong
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.
- This role is offered on a consultancy basis with a minimum 6-month contract, subject to renewal based on performance and business needs.
- Open to candidates with or without experience, though individuals with 1-2 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.
- Able to work from home with reliable internet and a backup connection.
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