Medical Billing & Claims Processor

Buscojobs; Metro Manila; Remote; PHP 400,000 - 600,000; Full time

Job summary

A health solutions company is seeking a Medical Biller & Claims Processor to join their remote team. The role involves compiling patient information, submitting claims, and resolving discrepancies. Candidates should have at least 2 years of experience in medical billing and strong knowledge of coding systems. This full-time position offers a salary between Php 35,000 to 45,000 per month with several benefits, including contributions to local health programs.

Benefits

Equipment provided

Paid leave benefits

13th-month pay

Overtime pay

Qualifications

• 2+ years of experience in medical billing or claims processing.
• Proficiency in medical coding terminology (CPT, ICD-10).
• Ability to work independently and as part of a team.

Responsibilities

• Compile patient information and submit medical claims.
• Resolve payment discrepancies with insurance providers.
• Maintain accurate billing records and ensure compliance.

Skills

Medical coding systems

Attention to detail

Analytical skills

Effective communication

Problem-solving skills

Time management

Knowledge of billing procedures

Education

High school diploma

Certification in healthcare

Tools

AdvancedMD software

Electronic medical records (EMR)

Job description

Overview

Medical Biller & Claims Processor RML-PH - Quezon City (Remote).

We are a dynamic Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape and delivering accessible, high-quality healthcare services with cutting-edge solutions. Join us to contribute to healthcare customer service excellence.

Responsibilities

• Compile necessary information, including patient demographics, insurance information, provider details, and procedural codes. Analyze, prepare, and submit medical claims to insurance payers through our electronic billing system.
• Assign and enter appropriate CPT and ICD-10 codes on claims.
• Investigate and resolve payment discrepancies, coordinating with other departments when necessary.
• Maintain accurate records of billing and claim activities, ensuring compliance with payer guidelines and company policies.
• Stay up-to-date on billing regulations and implement process improvements.
• Participate in internal meetings and training sessions to stay informed of industry updates.
• Additional responsibilities as required to meet business needs.
• For AR: Effectively manage patient calls or inquiries related to insurance claims and balances; monitor the status of submitted claims to resolve rejections or delays and resubmit as needed; follow up on unpaid insurance claims by checking insurance portals or contacting insurance customer service.

Qualifications

• High school diploma or equivalent; additional certification or education in healthcare or a related field is preferred.
• Certification or experience as a medical coder is preferred.
• 2+ years of experience in medical billing, claims processing, or a related field.
• Proficient in medical coding systems and terminology (CPT, ICD-10, HCPCS).
• Working knowledge of AdvancedMD software is preferred.
• Strong knowledge of insurance billing procedures and payer guidelines (Medicare, Medicaid, private insurance).
• Experience using electronic medical records (EMR) and billing software.
• Strong attention to detail, with excellent analytical and problem-solving skills.
• Ability to multitask and prioritize in a fast-paced environment.
• Effective communication skills in English, both written and verbal.
• Ability to work independently and collaborate with team members to resolve issues.
• Familiarity with HIPAA regulations and compliance requirements.

How to Apply

Interested candidates are encouraged to submit their resumes and a cover letter outlining their qualifications and how they would contribute to RML-PH's success via LinkedIn.

Additional Details

• Ideal start date: December 2024
• Schedule: Monday to Friday, 10:00 PM to 7:00 AM
• Work Location: Remote (Quezon City, PH)
• Job Type: Full-time
• Salary: Php 35,000 to 45,000 per month
• Benefits: Equipment provided; Contributions to PhilHealth, SSS, and Pag-IBIG; Paid leave: Sick, Paternity, Annual, and Public holidays; 13th-month pay and overtime
• New hires begin as contractors for the first two months before being reviewed for direct employment
• Background check required for all employees; continued employment is dependent on its outcome

Equal Opportunity

We are an equal-opportunity employer and value diversity, striving to create an inclusive workplace for all. We encourage candidates of all backgrounds and experiences to apply.

Disclaimer

All positions at RML-PH require a background check during the onboarding process. Continued employment is dependent on the outcome of the background check. RML-PH does not partner with staffing agencies. Resumes submitted unsolicited by agencies will not be considered.