senior medical Billing specialistSourcefit

Position Summary:
We are seeking a highly skilled and experienced Senior Medical Billing Specialist to join our dynamic healthcare team. This critical role requires a minimum of 3 years' experience in Accounts Receivable (AR), with proficiency in English due to frequent patient interactions. The ideal candidate will possess extensive knowledge of Practice Management (PM) and Electronic Medical Record (EMR) systems. As a potential future supervisor and 'super user' for our account, this role involves leading and training the billing team, ensuring a high standard of accuracy and efficiency in our medical billing processes.
Job Details:
Work from Home
Monday to Friday | 10 PM to 7 AM Manila time
*Following US Holidays
Responsibilities:
Customer Support: Provide exceptional customer service, addressing patient and healthcare provider inquiries related to medical billing and insurance claims. Communicate complex billing information in a clear, empathetic manner.
Billing Inquiries: Handle patient questions regarding billing statements, insurance coverage, and payment options. Translate complex billing information into understandable terms for patients.
Claims Processing: Oversee the review and processing of insurance claims. Ensure accuracy and completeness of all necessary information, and rectify any discrepancies or errors in submissions.
Payment Verification: Confirm insurance eligibility, benefits, and authorizations. Verify patient information and insurance details are accurate for claims processing.
Dispute Resolution: Address and resolve billing disputes, discrepancies, and denied claims. Collaborate with insurance companies and healthcare providers for efficient problem-solving.
Documentation: Maintain meticulous records of customer interactions, billing inquiries, and resolutions. Ensure proper documentation and filing of all billing and insurance information.
Team Leadership and Training: As a potential team supervisor and system 'super user', provide training and guidance to the billing team, ensuring adherence to best practices and standard procedures.
Qualifications:
A minimum of 3 years' experience in medical billing, specifically in Accounts Receivable.
Proficiency in English, with excellent verbal and written communication skills for effective patient interaction.
Extensive experience with PM/EMR systems, with a willingness to become a 'super user' and potential supervisor.
Strong understanding of medical billing processes, insurance claims, and payment verification.
Ability to explain complex billing concepts clearly and empathetically to patients.
Proven track record in dispute resolution and claims processing.
Exceptional organizational skills and attention to detail for accurate documentation and record-keeping.
Leadership skills with the ability to train and guide a team effectively.
Sourcefit

Philippines
Permanent
Full-time