Description
Responsibilities:
-Obtaining referrals and pre-authorizations as required for procedures
-Checking Eligibility and Benefits verification for treatments, hospitalization and procedures
-Reviewing patient bills for accuracy and completeness and obtaining any missing information
-Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
-Following up on unpaid claims within the standard billing cycle timeframe.
-Checking each insurance payment for accuracy and compliance with contract discount.
Qualifications:
-1-5 years experience on Medical Billing
-Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
-Effective communication abilities for phone contacts with insurance payers to resolve issues.
-Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
-Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
-Knowledge of medical terminology likely to be encountered in medical claims.
-Amenable to work in Imus Cavite or WORK ON SITE
Requirements
Minimum education level: Bachelor ́s Degree
Years of experience: 1
Language(s): ,English
Availability for travel: Yes
Availability for change of residence: No
Responsibilities:
-Obtaining referrals and pre-authorizations as required for procedures
-Checking Eligibility and Benefits verification for treatments, hospitalization and procedures
-Reviewing patient bills for accuracy and completeness and obtaining any missing information
-Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
-Following up on unpaid claims within the standard billing cycle timeframe.
-Checking each insurance payment for accuracy and compliance with contract discount.
Qualifications:
-1-5 years experience on Medical Billing
-Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
-Effective communication abilities for phone contacts with insurance payers to resolve issues.
-Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
-Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
-Knowledge of medical terminology likely to be encountered in medical claims.
-Amenable to work in Imus Cavite or WORK ON SITE
Requirements
Minimum education level: Bachelor ́s Degree
Years of experience: 1
Language(s): ,English
Availability for travel: Yes
Availability for change of residence: No
Other Info
Cavite, Calabarzon · 30 October
Work type
Full Time
Work type
Full Time
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CallMax Solutions
About the company
CallMax Solutions jobs
Cavite, Calabarzon · 29 October
Position medical Billing specialist recruited by the company CallMax Solutions at Cavite, Joboko automatically collects the salary of Apply, finds more jobs on Medical Billing Specialist or CallMax Solutions company in the links above