Medical billerClark Outsourcing

About the job Medical Biller
Position Description Position Title: Medical Biller
Classification: Client Staff
Reports To: Account Manager, Client Salary: 18000 to 25,000 Php/month
Primary Relationships: Internal Teams and client staff
Date: August 2021 Schedule: USA Business Hours (Night Shift)
Background:
The Medical Biller tracks billing, monitors collections, initiates claims for unpaid bills and maintains all patient information. The Medical Biller reports directly to the Accounts Manager and/or the Accounts Collector. This position has a great deal of interaction with the Office Manager and the Receptionist as well, and communicates extensively with insurance companies.
Responsibilities
● Maintaining patient information.
● Reviewing medical charts for completeness and accuracy.
● Gathering medical information from patient's records.
● Ensuring all necessary forms are completely identified and signed.
● Inputting information from patient records into the computer.
● Interacting with physicians to clarify diagnoses or obtain additional information. ● Facilitates making patient payment arrangements.
● Consulting classification manuals and assigning codes to clinical diagnoses and procedures.
● Completing insurance claims.
● Converting patient billing data into electronically readable formats.
● Collects from health insurance companies in regard to Workers Comp, Med-Pays (the portion of auto insurance that pays for bodily injury), HMOs, etc.
● Makes collection calls on unpaid claims 14 days after submission using A-Z binders or Patient Statement binders.
● Decides when difficult-to-collect claims should be sent to an outside collection agency.
● Acts as a liaison to lawyers.
● Negotiates personal injury settlements with attorneys.
● Handles any insurance inquiries and requests.
● Gets medical necessity letters (letters proving that patient care is medically necessary) written as needed.
● Provides help for patients in difficult insurance collection situations.
● Files complaints with the insurance commissioner.
● Calls attorneys assigned to personal injury cases to check on the status of individual cases.
● Once a month calls patients who owe money to work out a payment plan if needed.
● Daily data entry of charges.
● Entering all new patient information into the computer.
● Verifying the patient sign-in sheet against computer entries to make sure every patient who came in had charges entered for the day.
● Writing and inputting medical necessity letters and insurance reports.
● Verifying insurance coverage.
● Sending out bills.
● Filing patient and insurance information, as well as bills sent.
● Putting duplicate bills in alphabetical binders.
● Once all the data entry is completed, give all the Super Bills or charge tickets and new patient folders to the Accounts Manager, who then reviews and verifies entries.
● After bills have been sent out, put duplicate copies of the claims in the alphabetical binders that the Accounts Collector uses, making sure the newest claim is at the bottom of the stack for each patient.
● Doing any filing that has accumulated.
● Keeping track of the Special Requests file.
● Calling insurance companies to get extensions or re-authorizations to continue therapy beyond what was originally approved.
Requirements:
● Bachelor's degree in medical allied, BSBA, Accounting or any equivalent experience
● Is comfortable using a computer and necessary software
● Is familiar with standard office equipment.
● Possesses good communication and interpersonal skills
● Has exceptional organizational skills
● Demonstrates facility and accuracy in dealing with figures
● Great communication skills
● Is adept at interacting with attorneys
● Has the ability to think and respond quickly
● Has the ability to keep good records and follow a system
Clark Outsourcing

Central Luzon
₱25,000 per month
Permanent
Full-time