Medical Billing Assistant - US Healthcare

BruntWork; Philippines; On-site; PHP 2,198,000 - 3,266,000; Full time

Job summary

BruntWork is seeking meticulous Medical Billers to join our healthcare team. You will process patient data, submit and track claims with insurers, and ensure accurate, timely payments for healthcare services.

You will work with providers and insurers to resolve billing discrepancies, verify coverage, and post payments. Daily duties include handling denials, preparing appeals, and reporting unresolved items to the reimbursement team, with regular meetings.

Qualifications

• 1+ year in US-based medical billing, including reimbursements.
• Experience with provider credentialing and authorization processes.
• Familiarity with carrier portals and denial reviews.

Responsibilities

• Post insurance payments and responses into client systems (electronic/ERA/paper).
• Daily checks on pending amounts due from carriers.
• Review denials and resubmit with proper reasons.
• Prepare appeals for reimbursement.
• Report unresolved items to reimbursement team.
• Identify and address reasons for denials to prevent recurrence.
• Follow up on appeals and claims reconsideration.
• Attend daily and weekly reimbursement meetings.
• Other duties as assigned.

Skills

Detail oriented

Time management

Communication

Organizational skills

Problem solving

Education

2 years of college

Tools

Microsoft Excel

Microsoft Word

Internet navigation

Job description

• Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5:00am Manila Time)
• Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)

About the Company:

We are seeking a meticulous and dedicated Medical Billers to join our healthcare team. The successful candidates will be responsible for processing patient data, including medical records and billing information, submitting and tracking claims with insurance companies, and ensuring accurate and timely payment for healthcare services.

The Medical Biller will work closely with healthcare providers and insurance companies to resolve billing discrepancies, verify insurance coverage, and process payment posting.

Responsibilities:

• Post insurance company payments and/or responses into the various systems based on client, such as electronic, ERA, or paper explanation of benefits.
• Daily checks on the pending amounts due from carriers and act accordingly.
• Reviewing the recent codes of partial and full denials, utilizing carrier portals or calling for clarification as well as resubmission and reconsideration of given claims with appropriate reasons.
• Prepare appeals to be sent by reimbursement representative.
• Report to reimbursement team member any item that is not resolved within a timely manner.
• Report to reimbursement team member any specific patients with partial and full denials, identify why denied, and find ways to avoid the issues that might be triggering it.
• Check with carriers on no-response claims based on predefined dates.
• Prepare amounts outstanding and key issues for the reimbursement team member.
• Follow up on appeals and claims sent for reconsideration.
• Attend daily meetings with reimbursement team member.
• Attend weekly team meetings, completing the to-do's assigned to reimbursement team member.
• Other duties as assigned.

Qualifications:

• At least 1 year experience in US-based medical billing practice. 1 year experience in a medical practice dealing with billing including but not limited to Provider Credentialing, Authorization, Reimbursement, etc.

Required Skills:

• At least 2 years in College
• Must have backup power supply (extra laptop/powerbank/generator/UPS/reside near a coworking space)
• Detail orientated with above-average organizational skills
• Able to plan and prioritize to meet deadlines
• Excellent verbal and written communication
• Communicates clearly and effectively
• Excellent computer skills, including Microsoft programs such as Excel, Word
• Thorough understanding of navigating the internet

Equal Opportunity Statement:

We hire and promote based on these core values + job-specific performance. Respectful of our unique cultural environment. Absolute confidentiality. Embracing teamwork. Loyal behavior and positive attitude. Accountability. Proactiveness. Thoroughness. Focused on results. Inspired to learn and grow constantly. Devoted to providing top-tier services to our clients through the company's "Unique Service Oriented Philosophies".