Medical Billing Specialist (RCM Account)

Gratitude Philippines; Taguig; On-site; PHP 240,000 - 320,000; Full time

Benefits offered by this job

Equity Incentive Plan

Performance Bonus

Incentives

Job summary

A healthcare services company in Taguig is seeking a Medical Billing Specialist to process medical claims and handle billing for accuracy. The ideal candidate will have 1-3 years of relevant experience and a Bachelor's degree. Responsibilities include submitting and following up on claims, verifying insurance coverage, and maintaining compliance with healthcare regulations. This full-time position offers opportunities for growth and a performance-based bonus.

Qualifications

• 1-3 years of experience in medical billing or revenue cycle management.
• Proficiency in reviewing patient bills for accuracy.
• Understanding of insurance claims submission and follow-up processes.

Responsibilities

• Process medical claims, billing, and coding based on healthcare guidelines.
• Review patient bills for accuracy and completeness.
• Submit claims to insurance companies and follow up on reimbursements.
• Handle claim denials, rejections, and appeals.
• Verify insurance coverage and patient eligibility.
• Coordinate with providers, payers, and patients regarding billing concerns.
• Ensure compliance with healthcare regulations and revenue cycle management standards.

Skills

Medical claims processing

Billing and coding

Healthcare regulations compliance

Attention to detail

Education

Bachelor's degree

Job description

Medical Billing Specialist (RCM ACCOUNT)

On-site - Taguig 1-3 Yrs Exp Bachelor Full-time

Job Description

Medical Reimbursement

Employee Recognition and Rewards

Equity Incentive Plan, Performance Bonus, Incentives

Description

Process medical claims, billing, and coding based on healthcare guidelines.

• Review patient bills for accuracy and completeness.
• Submit claims to insurance companies and follow up on reimbursements.
• Handle claim denials, rejections, and appeals.
• Verify insurance coverage and patient eligibility.
• Coordinate with providers, payers, and patients regarding billing concerns.
• Maintain accurate billing records and documentation.
• Ensure compliance with healthcare regulations and revenue cycle management standards.

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• collects illicit benefits,
• or other illegal situations.