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Medical Biller

2 months, 3 weeks ago
Philippines
Full-time
Senior
Accountant
Customer and Technical Support
Apply Now
Elevate and Delegate

Elevate and Delegate

Elevate & Delegate: Headhunting agency for affordable offshore talent. Hire Virtual Assistants to streamline operations and improve efficiency.

Professional Services
1-10
View All Jobs 30

Description

  • Prepare, review, and submit a high volume of insurance claims daily.
  • Manage the full billing workflow from claim creation through payment posting and account follow-up.
  • Submit claims accurately to clearinghouses and monitor timely processing.
  • Track claim status and proactively resolve billing issues.
  • Investigate, appeal, and resolve claim rejections and denials from start to finish.
  • Identify billing errors, correct claims, and resubmit them promptly.
  • Apply Coordination of Benefits rules and CPT/HCPCS modifiers correctly based on payer requirements.
  • Ensure compliance with billing guidelines across multiple commercial and government payers.
  • Communicate with healthcare providers about documentation and billing questions.
  • Assist patients or parents/guardians with billing inquiries, balances, payment collection, and payment arrangements.

Requirements

  • Extensive hands-on experience in medical billing with a proven track record of managing high claim volumes.
  • Strong experience submitting claims to insurance clearinghouses.
  • Demonstrated success resolving claim rejections and denials through to payment.
  • Thorough understanding of Coordination of Benefits (COB).
  • Strong knowledge of CPT/HCPCS coding modifiers and their appropriate application.
  • Solid understanding of insurance payer guidelines and billing requirements across multiple payers.
  • Ability to identify billing issues, correct claims, and resubmit them with minimal supervision.
  • Experience managing the complete medical billing lifecycle from claim submission through payment posting and collections.
  • Strong analytical, organizational, and problem-solving skills.
  • Ability to work independently while managing multiple priorities in a fast-paced environment.
  • Experience using AdvancedMD (strongly preferred).
  • Experience communicating directly with providers regarding documentation and billing issues (preferred).
  • Experience assisting patients or parents/guardians with billing questions (preferred).
  • Comfortable collecting payments by phone and establishing payment plans (preferred).
  • Experience working with multiple insurance carriers and specialty practices (preferred).

Benefits

  • Salary range of $1,500 to $2,000 per month.
  • Full-time weekday schedule: 8 am to 5 pm EST, Monday through Friday.
  • One-hour daily break from 12 pm to 1 pm.

Interested in this position?

Apply directly on the company website

Apply Now

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