Medical Billing Specialist (w/ Athena EHR) | Hybrid setup - Manila

Shift: Nightshift

Duties and Responsibilities:

1. Work Hold Buckets

• Make corrections to the following:
• Provider information
• Patient insurance discrepancies
• Credentialing information
• Patient demographics
• Other issues as requested
• Provide the following:
• Additional documentation requested
• Missing referral/authorizations

1. Work Manager Hold Buckets

• Provide additional documentation requested
• Address patient insurance issues, including:
• Medical policy
• Benefits coverage
• Coordination of benefits
• Respond to questions regarding coding clarification

1. Work Charge Entry for Office and Procedures

• Review claims to optimize coding and ensure all procedures, tests, etc., were billed
• Enter charges by the end of the business day following provider’s closing encounter
• Double check schedule with charge entry to identify any missing slips
• Review Insurance Refunds Worklist
• Review and confirm insurance refunds before presenting to the practice
• Ensure refunds are properly handled
• Review Patient Refund Worklist
• Review and confirm patient refunds before presenting to practice
• Coordinate payment with practice manager and/or physician(s)

1. Work Unpostables

• Gather EOBs, scan and upload into Athena
• Review Collections Worklist
• Review collections weekly
• Follow strict protocol regarding patient letters and phone calls regarding payment
• Call patients requesting payment in-full or work-out payment arrangements
• Send patients ready for collections directly to practice or collection agency

1. Review Claim Attachment Error Queue

• Review and correct claim attachment errors
• Review claim attachment faxes that Athena did not associate with a claim

1. Review Zero Pay Report

• Review for underpayment
• Initiate corrections

1. Review and provide Practice Reports monthly or upon request

• Run A/R Aging Wizard
• Denial Report
• Run Activity Wizard
• Present reports with recommendations for improvement, as needed

Qualifications:

• Minimum of 4 year's+ experience in medical billing.
• Experience in using Athena is a must.
• A proactive mindset coupled with outstanding prioritization and task management skills, demonstrating your ability to handle a high volume of tasks daily.
• Proficiency in following complex process workflows accurately and efficiently.
• Exceptional follow-through skills, complemented by excellent written and verbal communication abilities.
• Proficiency in data analysis and spreadsheet management.
• US Client experience is a plus.

About Intelassist

Established in 2007, Intelassist is a remote staffing organization that originated from a collaboration between US-based industry professionals and an experienced operational team in Manila, Philippines. Our US team brings over 20 years of experience in engineering, manufacturing, IT, finance, and high-level operations, while our Manila-based team offers over 15 years of experience in delivering exceptional support to global enterprises.

Our coast-to-coast US offices, in collaboration with our dedicated employees in the Philippines, enable us to deliver results to clients in various markets and for a wide range of roles. With over 15 years of experience in the BPO industry, Intelassist places a strong emphasis on organizational resilience and social stewardship to foster lasting, meaningful partnerships within our team and with our clients.

At the core of our business lie our people. Our ability to recruit, train, and, most importantly, retain exceptional team members is not only what enables Intelassist to attract the region’s finest talent but also what bestows stability upon our clients through reduced turnover and tangible outcomes.

With a workforce of slightly over 1,000 employees, we strike a balance – substantial enough to possess profound insight into the Business Process Outsourcing (BPO) industry, yet intimate enough to maintain the family-like, high-energy work atmosphere that our candidates seek.

At Intelassist, we specialize in sourcing, training, and retaining top-tier talent, each exclusively dedicated to meeting our clients’ unique needs. Our proven track record and local presence ensure that Intelassist clients enjoy increased productivity, reduced staff turnover, and significant cost savings.

We grow together. We value your effort. We aim to empower you.