Medical Biller

2 hours, 7 minutes ago
Full-time
Junior
Operations
StaffRight Careers

StaffRight Careers

StaffRight Careers is a leading Business Process Outsourcing (BPO) firm that specializes in connecting full-time remote professionals with established clients in the US and Europe. The company focuses on strategic talent placement, aiming to enhance work-life balance for both employees and clients. StaffRight operates a staffing and recruitment platform that recruits, trains, and places offshore talent, offering clients domain expertise at competitive costs. Their transparent, three-stage recruitment process includes application submission, team consultation, and client matching. They serve a variety of industries, including healthcare, e-commerce, marketing, real estate, finance, supply chain, and sales development. The company values work-life balance and fosters a supportive culture, as reflected in employee testimonials. StaffRight is dedicated to recognizing employee contributions and maintaining clear communication, ensuring a positive experience for its team members.

staffing & recruiting
11-50

Description

  • Collect and manage patient demographics, insurance details, and registration information.
  • Verify insurance eligibility and benefits before services, including deductibles, co-insurance, and coverage limits.
  • Initiate, track, and follow up on prior authorizations for infusion and specialty treatments.
  • Translate diagnoses and procedures into ICD-10, CPT, and HCPCS codes and enter charges into the billing system.
  • Create, submit, and manage electronic or paper insurance claims while minimizing rejections and denials.
  • Post insurance and patient payments, reconcile accounts, and track outstanding balances.
  • Follow up on unpaid or denied claims by preparing appeals and corrected claims with supporting documentation.
  • Bill patients for unpaid balances, explain financial responsibility, and manage payment plans or collections when needed.
  • Enroll patients in co-pay assistance programs, apply assistance funds, and track usage and balances.
  • Coordinate with providers, infusion centers, specialty pharmacies, and payers to resolve billing, authorization, and reimbursement issues.

Requirements

  • Excellent written and verbal English communication skills.
  • Experience in medical billing for provider-side or consumer-side operations; insurance-side experience is also welcome.
  • Infusion billing experience is strongly preferred.
  • Experience with eligibility verification, benefits checking, and prior authorizations.
  • Experience handling appeals and denial management.
  • Familiarity with ICD-10, CPT, and HCPCS codes.
  • Experience using medical billing or EHR/EMR software.
  • Available to work in US time zones on a graveyard shift in the Philippines.
  • Available to start within 2 weeks of job offer.
  • Comfortable using time-tracking tools such as Time Doctor.
  • Own laptop or desktop, noise-cancelling headphones, and webcam.
  • Reliable internet connection with at least 50 Mbps speed.
  • Backup equipment available in case of power or internet outages.
  • Proficiency with Microsoft Office tools and Google Workspace.

Benefits

  • Monthly salary starting at PHP 45,000 to PHP 60,000, with higher compensation possible based on experience and qualifications.
  • Full-time 40-hour work week.
  • Comprehensive medical insurance coverage.
  • Generous paid time off and sick leave.
  • Paid national holidays.
  • Service recognition and rewards through the Elite VA program.

Interested in this position?

Apply directly on the company website

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