medical Billing claims specialistRippedboxstation

Position: Medical Billing Claims Specialist
Number of hours: 10 hours/week
Schedule: CST
Tasks required:
Review medical records to identify pre-existing conditions or other factors that may affect coverage decisions
Communicate with patients to answer questions about their claims status or handling billing issues
Investigate claims to ensure they comply with state laws and regulations such as those governing fraud, drug abuse, or mental illness
Review claims for accuracy and processing payments to providers
Maintain detailed records of claims activities to support audits by regulatory agencies or courts of law
Estimate the amount of anticipated claims payments
Maintain up-to-date knowledge of federal and state laws regarding medical claims processing, including provisions related to fraud prevention
Review claims to determine whether they meet criteria for coverage under specific plans or policies
Audit and correct records to ensure they are accurate
Other ad hoc tasks to be assigned
Requirements:
Proven work experience as a Medical Billing Claims Specialist or relevant experience
Exceptional communication skills in the English language
Experience working in the medical field
Detail-oriented
Outstanding problem-solving and organizational abilities
Familiarity with current technologies, like desktop sharing, cloud services and VoIP
Rippedboxstation

Manila City, Metro Manila
Permanent
Part-time