Medical Billing Specialist

Dempsey Resource Management Inc.; Makati; On-site; PHP 279,000 - 390,600; Full time

Job summary

A healthcare management company in Makati is seeking a professional to handle medical claims processing. Responsibilities include submitting claims, verifying patient information, resolving discrepancies, and ensuring compliance with regulations. Excellent customer service for patients and insurers is essential. Ideal candidates should be detail-oriented and knowledgeable about billing procedures.

Responsibilities

• Process and submit medical claims to insurance companies.
• Review and verify patient information for accuracy.
• Resolve billing discrepancies and appeals promptly.
• Maintain records of unpaid or rejected claims.
• Collaborate with healthcare providers to ensure compliance.
• Stay updated on regulatory changes and billing software.
• Provide excellent customer service to patients and insurers.
• Prepare and submit insurance claims electronically and via mail.
• Record patient and insurance payments received.
• Follow up on outstanding claims and manage accounts receivable.
• Investigate denied claims and work with insurance companies to resolve issues.
• Contact patients to collect outstanding balances and address billing inquiries.
• Ensure accurate and complete data entry of patient information and billing codes.
• Adhere to relevant billing and coding regulations.
• Prepare reports and analyze billing data to identify trends.

Job description

Responsibilities

• Process and submit medical claims to insurance companies.


• Review and verify patient information for accuracy.


• Resolve billing discrepancies and appeals promptly.


• Maintain records of unpaid or rejected claims.


• Collaborate with healthcare providers to ensure compliance.


• Stay updated on regulatory changes and billing software.


• Provide excellent customer service to patients and insurers.

Key Responsibilities

• Claim Submission: Preparing and submitting insurance claims electronically and via mail.


• Payment Posting: Recording patient and insurance payments received.


• Accounts Receivable Management: Following up on outstanding claims and managing accounts receivable.


• Claim Investigation: Investigating denied claims and working with insurance companies to resolve issues.


• Patient Communication: Contacting patients to collect outstanding balances and address billing inquiries.


• Data Entry and Verification: Ensuring accurate and complete data entry of patient information and billing codes.


• Compliance: Adhering to relevant billing and coding regulations.


• Reporting and Analysis: Preparing reports and analyzing billing data to identify trends and opportunities for improvement.