Medicaid Billing Specialist

Dynamic Talent Solutions; Manila; Remote; PHP 279,000 - 558,000; Full time

Benefits offered by this job

Commission

Performance Bonus

Employee Recognition Program

Health Insurance

Work from Home options

Job summary

A leading talent agency in the Philippines is seeking a Billing Specialist responsible for the accurate submission of claims and compliance with industry standards. The ideal candidate has experience in billing and healthcare, strong attention to detail, and excellent communication skills. This role requires proficiency in MS Office Suite and the ability to work onsite during graveyard shifts. The position offers a competitive contract type of Permanent, along with various employee incentives like health insurance and work-from-home options.

Qualifications

• Experience working in billing and health care preferred.
• Customer service experience preferred.
• Proficient in MS Office Suite (Outlook, Word, Excel).
• Willing to work in a graveyard shift and onsite.

Responsibilities

• Prepare and submit accurate claims in accordance with payer guidelines.
• Ensure all claim details are complete and error-free.
• Review claims for accuracy and compliance with regulations.
• Maintain high clean-claims submission rate.
• Identify and report billing trends and potential errors.
• Ensure compliance with industry regulations, payer policies, and internal billing procedures.
• Maintain accurate and organized billing records and documentation.
• Identify and report billing trends, potential errors, and areas for process improvement.
• Collaborate with internal teams to standardize billing practices and enhance efficiency.
• Support billing audits and internal quality control measures.

Skills

Billing and health care experience

Customer service experience

Excellent follow-up skills

Time management

Communication skills

Proficiency in MS Office Suite

Familiar with Care claim MB software

Back-office support

Tools

MS Office Suite

Care claim MB software

Job description

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Job Description

Employee Recognition and Rewards

Commission, Performance Bonus, Employee Recognition Program, Incentives

Government Mandated Benefits

Insurance Health & Wellness

Health Insurance, HMO

Work-Life Balance

Work from Home

The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, maintaining compliance with industry standards, and ensuring billing accuracy. This role focuses on precise claim preparation, attention to detail, and proper documentation to minimize errors and maximize clean claim rates. The ideal candidate will have a strong understanding of medical billing practices and payer requirements.

Core Responsibilities

• Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles
• Ensure all claim details are complete and error-free, including coding, provider information
• Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations
• Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections
• Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission
• Ensure compliance with industry regulations, payer policies, and internal billing procedures
• Maintain accurate and organized billing records and documentation
• Identify and report billing trends, potential errors, and areas for process improvement
• Collaborate with internal teams to standardize billing practices and enhance efficiency
• Support billing audits and internal quality control measures
• Other duties as assigned

Experience and Skills

• Experience working in billing and health care preferred
• Customer service experience preferred
• Excellent follow-up, time management, and communication skills required
• Proficiency in MS Office Suite (Outlook, Word, Excel) is required
• Familiar with Care claim MB software (prefer)
• Back-office support & Email customer invoicing
• Amenable in working in a graveyard shift and working onsite

Job Category: Finance and Accounting

Contract Type: Permanent

Ruth Balatinsayo

HR Officer Dynamic Talent Solutions