Medical Biller

TMDPH Inc.; Iloilo City; On-site; PHP 200,000 - 280,000; Full time

Job summary

TMDPH Inc. is seeking a diligent Medical Billing Specialist to ensure accurate coding and prompt claim submission. The role involves reviewing patient information, following up on denials, and coordinating with insurance companies to secure timely reimbursements.

The successful candidate will maintain HIPAA-compliant practices, communicate effectively with patients and payers, and contribute to accurate financial reporting. On-site work is preferred in Iloilo City and surrounding areas.

Responsibilities

• Review and verify accuracy of patient information, diagnoses, and medical procedures for proper coding and billing.
• Prepare and submit medical claims to insurance companies and other third-party payers accurately and within established timelines.
• Follow up on outstanding claims, denials, and discrepancies to ensure timely and complete reimbursement.
• Process and track payments received from insurance companies, patients, and other sources.
• Investigate and resolve billing discrepancies or errors, working collaboratively with internal and external stakeholders.
• Maintain up-to-date knowledge of medical billing regulations, coding guidelines, and insurance requirements.
• Communicate with patients, insurance companies, and other relevant parties to address billing inquiries, provide explanations of benefits, and ensure accurate billing information.
• Maintain patient confidentiality and adhere to ethical standards when handling sensitive financial and medical information.
• Assist with generating financial reports and analyzing billing data for insights into revenue cycles and trends.
• Collaborate with the healthcare providers, and administrative staff to ensure effective billing operations.
• Ensure compliance with privacy laws, and data security guidelines, including Health Insurance Portability and Accountability Act (HIPAA) standards.

Job description

Key Responsibilities:

• Review and verify accuracy of patient information, diagnoses, and medical procedures for proper coding and billing.

• Prepare and submit medical claims to insurance companies and other third-party payers accurately and within established timelines.

• Follow up on outstanding claims, denials, and discrepancies to ensure timely and complete reimbursement.

• Process and track payments received from insurance companies, patients, and other sources.

• Investigate and resolve billing discrepancies or errors, working collaboratively with internal and external stakeholders.

• Maintain up-to-date knowledge of medical billing regulations, coding guidelines, and insurance requirements.

• Communicate with patients, insurance companies, and other relevant parties to address billing inquiries, provide explanations of benefits, and ensure accurate billing information.

• Maintain patient confidentiality and adhere to ethical standards when handling sensitive financial and medical information.

• Assist with generating financial reports and analyzing billing data for insights into revenue cycles and trends.

• Collaborate with the healthcare providers, and administrative staff to ensure effective billing operations.

• Ensure compliance with privacy laws, and data security guidelines, including Health Insurance Portability and Accountability Act (HIPAA) standards.

Preferrable residing in Iloilo or Western Visayas and willing to work on site.