Senior Medical Billing Specialist with 25% Night Differential | Work From Home
Connext Davao Full-time
Job Summary
The Senior Medical Billing Specialist is primarily responsible for accurately and efficiently posting charges and payments to patient accounts. This role requires meticulous attention to detail, strong organizational skills, and a thorough understanding of medical billing procedures.The Charge Poster plays a critical role in ensuring accurate revenue cycle management and maintaining financial integrity.
Screening Criteria- High school diploma or equivalent.
- Minimum of two (2) years of experience in medical billing or charge posting, AR follow-up, and claims resolution.
- Must have a stable employment history.
- Proficiency in medical billing software, EHR systems, and Microsoft Office.
- Experience with NextGen practice management and electronic health record (EHR) systems
- Understanding of CPT, ICD-10, and HCPCS coding, as well as insurance guidelines (Medicare, Medicaid, and commercial payers).
- Ability to identify issues, analyze information, and develop effective solutions in a timely and efficient manner.
- Meticulous attention to detail to identify and correct discrepancies in billing or payment records.
- Clear and coherent in both written and verbal communication skills to interact effectively with insurance providers, patients, and internal teams via phone and email.
- Accurately post charges for medical services and procedures based on documentation and coding.
- Verify the accuracy of patient demographics and insurance information.
- Ensure charges are posted in a timely manner to meet billing deadlines.
- Identify and resolve discrepancies in charge entries.
- Utilize electronic health record (EHR) and practice management systems for charge entry.
- Post payments from insurance companies, patients, and other sources.
- Reconcile payments with Explanation of Benefits (EOBs) and remittance advices.
- Identify and resolve payment discrepancies and denials.
- Apply contractual adjustments and write-offs as required.
- Maintain accurate records of all payment postings.
- Accurately enter and verify patient and financial data.
- Ensure data integrity and compliance with HIPAA regulations.
- Maintain organized and up-to-date records.
- Communicate effectively with billing staff, clinicians, and patients regarding charge and payment inquiries.
- Collaborate with other departments to resolve billing issues.
- Respond to patient inquiries regarding billing statements.
- Adhere to all applicable billing regulations and compliance guidelines.
- Assist in generating reports related to charge and payment activity.
- Stay updated on coding and billing changes.
- Perform other related duties as assigned.
BizForcePhilippines
in Hospital Billing experience to join our team. The ideal candidate will be responsible for handling the full spectrum of billing and accounts receivable processes, with a strong focus on hospital medical bill audits.
Proficiency in Epic Systems is required...
SixElevenDavao
on denied or unpaid claims and resolving billing discrepancies.
Qualifications:
• Knowledge of medical billing procedures and insurance claims processing
• Familiarity with Medicare, Medicaid, and private insurance guidelines
• Strong attention to detail...
ZipHRPhilippines
This a Full Remote job, the offer is available from: Philippines
Who are we seeking?
We’re looking for a Medical Records Specialist who is meticulous, organized, and thrives in a remote work environment. If you have experience managing sensitive...