medical Billing specialistJVERS CAREERS

REMOTE | FULL-TIME We are looking for a smart, experienced and awesome Medical Billing Specialist In This Role You Will Manage and optimize the resolution of insurance claims that have been pending for more than 20 days. Rigorously evaluate each claim to identify and resolve any issues that are causing delays. Negotiate with insurance companies and ensure accurate claim status assessments, as well as work towards favorable resolutions for complex claims. Conduct a daily review of claims that have been in the system for 20 days or more. Utilize a systematic approach to evaluating the current status of each claim to pinpoint potential problems. Oversee the pre-approval process for medical procedures, treatments, or services to prevent claim rejections due to lack of authorization. Analyze denied claims to understand the reasons behind them. Develop and execute a robust rebuttal process to effectively address denial reasons and enhance the chances of successful claim reconsideration. You Will Succeed In This Role If You Have/Are Ability to focus on details and analyze complex information to identify and solve problems related to medical billing and insurance claims. Previous experience, especially in post-claims management as your seasoned expertise in the medical billing field will be the foundation of your success in this role. Strong problem-solving skills and you enjoy resolving complex issues. Adept at finding solutions to various challenges related to medical billing and insurance claims. Patient and persistent, especially when dealing with insurance companies and complex billing systems. Excellent communication skills, possessing the ability to communicate effectively with different stakeholders, including healthcare providers, insurance companies, and patients. A strong sense of ethics and understanding of confidentiality and privacy laws, given the sensitive nature of patient data. Adaptable and committed to continuous learning, especially regarding new laws, technologies, and insurance policies. Excellent organizational skills and proficiency in medical billing software and electronic health records. A customer service approach, especially in dealing with patients' billing concerns. Strategic and insightful to navigate the complexities of medical billing and ensure that our services are rightfully recognized and reimbursed. What's In It For You A competitive compensation package, offering a rate between $8 to $12 per hour based on experience and qualifications. Flexible work schedule Room for growth Other Things That You Need To Know This is a full-time work opportunity. You'll be asked to work a minimum of 40 hours per week.
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Manila City, Metro Manila
Permanent
Full-time