Prepare and submit clean, accurate claims to insurance companies via electronic systems, mail, or fax.
Respond to inquiries from providers, staff, and insurance companies regarding billing concerns.
Identify, troubleshoot, and resolve billing discrepancies or complaints.
Review accounts and recommend next steps to the Billing Team Lead for resolution or escalation.
Perform collection activities including follow-ups, claim corrections, and resubmissions to third-party payers.
Process insurance payments and maintain accurate daily deposit records.
Generate and maintain daily, weekly, and monthly billing and collection reports.
Participate in mandatory monthly staff meetings.
Maintain strict confidentiality of patient health information and ensure full compliance with HIPAA regulations.
Qualifications
1-3 years of proven experience in medical billing and collections.
Proficiency in Electronic Medical Record (EMR) systems.
Strong understanding of healthcare billing codes (CPT, ICD-10) and claims submission procedures.
Familiarity with medical coding, third-party payer operations, and healthcare collections.
Working knowledge of HIPAA and PHI confidentiality standards.
High attention to detail and ability to create consistent financial workflows.
Excellent communication skills for engaging with providers, staff, and documentation teams.
Strong interpersonal skills and ability to thrive in a collaborative team environment.
Location: Philippines - RemoteHours: Available during standard US business hours (9am-5pm EST or 8:30am-4:30pm EST)This job description is intended to describe the general requirements for the position. It is not a complete statement of duties, responsibilities or requirements. Other duties not listed here may be assigned as necessary to ensure proper operations of the departmentPowered by JazzHR
WRS Health
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Permanent
Full-time
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