Medical Billing Specialist

AddForce Human Resources Solution Inc.; Muntinlupa; On-site; PHP 279,000 - 390,600; Full time

Job summary

A healthcare solutions provider in Muntinlupa is seeking experienced individuals to manage the billing claims process. Responsibilities include verifying insurance coverage, preparing clean claims, and communicating with insurance companies and patients. Ideal candidates will have at least 2 years of experience in a Healthcare BPO environment, alongside strong customer service skills and proficiency in office software.

Qualifications

• 2 years of Healthcare BPO healthcare experience.
• Minimum of 2 years claims or bill review experience.
• Proficiency in Microsoft Word, Excel & Outlook.

Responsibilities

• Prepare and submit clean claims to insurance companies.
• Review patient bills for accuracy and completeness.
• Verify insurance coverage and benefits prior to billing.
• Resolve claim denials and rejections.
• Follow up with insurance companies and patients for payments.
• Post payments and adjustments to patient accounts.
• Generate patient invoices and statements.
• Maintain confidentiality of patient information.
• Communicate with healthcare providers and insurance companies.
• Maintain organized billing records.

Skills

Healthcare BPO experience

Customer service experience

Intermediate computer experience

Job description

Job Requirements

• 2 years Healthcare BPO healthcare experience
• 2 years customer service experience with a minimum of 2 years claims or bill review experience and provider/carrier outreach with Intermediate computer experience using Microsoft Word, Excel & Outlook required

Key Responsibilities

• Prepare and submit clean claims to insurance companies electronically or by paper
• Review patient bills for accuracy and completeness; obtain any missing information
• Verify insurance coverage and benefits prior to billing
• Resolve claim denials and rejections by researching issues and correcting errors
• Follow up with insurance companies and patients to ensure prompt payment
• Post payments and adjustments to patient accounts
• Generate patient invoices and statements
• Maintain strict confidentiality of patient information (HIPAA compliance)
• Communicate with healthcare providers, insurance companies, and patients
• Maintain organized billing records and documentation
• Stay updated on payer policies, coding changes, and industry regulations