Medical Biller (Chiropractic)

apartmentEDJ Data placeCebu scheduleFull-time calendar_month 

Medical Biller (Chiropractic)

Work Setup

Onsite

Work Schedule

Graveyard Shift

Target Start Date

ASAP

Headcounta

1

Company Overview

EDJ Data is a performance-driven organization dedicated to delivering high-quality operational support across healthcare and service-based industries. We focus on accuracy, efficiency, and continuous improvement while fostering a collaborative and growth-oriented work environment.

Our teams are equipped with the tools and training needed to succeed in specialized fields, including chiropractic and allied healthcare services.

Position Overview

The Medical Biller (Chiropractic) will play a critical dual role: managing end-to-end billing operations while also revamping and optimizing the billing department for Nguyen Chiropractic.

This role goes beyond routine billing—it requires a process-driven and solutions-oriented professional who can identify inefficiencies, improve claim success rates, and implement best practices in chiropractic billing.

The ideal candidate has strong hands-on experience in chiropractic billing, including ICD-10, CPT coding, claim submission, scrubbing, and clearinghouse management, and is capable of driving measurable improvements in billing performance and revenue cycle efficiency.

Core Responsibilities

Billing Operations
  • Prepare, review, and submit accurate claims for chiropractic services to insurance companies and payers
  • Ensure proper documentation aligns with billing and compliance requirements
  • Apply appropriate CPT, ICD-10 codes, and modifiers (e.g., AT modifier)
  • Verify patient insurance coverage, benefits, and eligibility specific to chiropractic care
  • Post payments, adjustments, and reconcile accounts accurately
Claims Management & Resolution
  • Monitor claim status and proactively follow up on unpaid, delayed, or denied claims
  • Investigate and resolve claim denials, rejections, and underpayments
  • Communicate with insurance providers regarding authorizations, claims, and reimbursements
Systems & Tools
  • Utilize clearinghouses for claim submission and tracking
  • Perform claim scrubbing to ensure accuracy prior to submission
  • Maintain accurate records in CRM and billing systems
Process Improvement & Optimization (Key Focus)
  • Assess current billing workflows and identify inefficiencies or revenue leakage
  • Recommend and implement optimized billing solutions and best practices
  • Improve first-pass claim acceptance rates and reduce denials
  • Establish standardized billing processes and documentation protocols
  • Provide insights and reporting on billing performance, trends, and gaps
  • Collaborate with internal teams to enhance overall billing accuracy and efficiency
Required Skills & Qualifications
  • At least 1–3 years of experience in medical billing, preferably in chiropractic or musculoskeletal practices
  • Strong knowledge of:
  • ICD-10 and CPT coding
  • Chiropractic-specific billing procedures and modifiers
  • Insurance processes (e.g., visit limits, medical necessity)
  • Hands-on experience with:
  • Clearinghouses
  • Claim submission and scrubbing
  • Denial management and appeals
  • Proven ability to analyze and improve billing processes
  • Strong problem-solving skills with experience resolving complex claims
  • High attention to detail and ability to manage multiple billing cases simultaneously
  • Proficiency in CRM systems and billing platforms
  • Strong organizational, analytical, and time management skills
  • Excellent written and verbal communication skills
  • Ability to work independently in a fast-paced, deadline-driven environment
Compensation & Benefits
  • Salary Range: ₱25,000 – ₱40,000 (dependent on experience)
  • Additional benefits, depending on performance

30 / 60 / 90 Days Success Measures

First 30 Days (Onboarding & Learning Phase)
  • Complete onboarding and training on existing billing workflows and systems
  • Gain full understanding of current billing processes, tools, and challenges
  • Demonstrate proficiency in chiropractic billing codes and claim submission
  • Begin handling claims with a focus on accuracy and compliance
First 60 Days (Integration & Performance Phase)
  • Independently manage billing operations with minimal supervision
  • Identify key inefficiencies and gaps in the current billing process
  • Improve claim accuracy and reduce initial rejection rates
  • Begin implementing small process improvements (e.g., better scrubbing practices, follow-up systems)
First 90 Days (Optimization & Ownership Phase)
  • Successfully revamp key areas of the billing workflow
  • Achieve measurable improvements in:
  • First-pass claim acceptance rate
  • Reduction in denials and delays
  • Implement optimized billing solutions and standardized processes
  • Take full ownership of the billing function and contribute to long-term revenue cycle improvements
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