Billing Representative  

Responsibilities and Duties

• Edits claims, payer rejections and clean claim submission on a daily basis
• Clear edited claims using various defined resources along with sound judgment and critical thinking while ensuring adherence to client, company, and compliance standards.
• Process all assigned imported claims, rebill requests and rejected claims in a timely and accurate manner
• Bill all late charges with proper billing codes, per Late Charge Workflow.
• Reviews charges, patient information, and insurance information prior to billing to minimize underpayment, denials, and re-bill attempts. Properly submits claims to primary, secondary and tertiary insurance companies with the appropriate Explanation of Benefits (EOB) attachments, if applicable.
• Reviews the control ID for all unbilled accounts and / or rebill requests.
• Notates accounts for workflow back to the facilities for review of unclean claims.
• Provide proactive and routine feedback to Revenue Cycle Manager regarding any deficiencies, variances, and/or other issues identified during the billing process, including variances with incoming inventory
• Works closely with the DPS/facilities to obtain any missing information required to bill the claim
• Conduct all job tasks, duties, and interactions with professionalism, respect, a positive attitude, and in accordance with company compliance policies and applicable government regulations
• Consistently support and demonstrate the company mission and values
• Must be willing to work in BGC, Taguig for a nightshift schedule

• Bachelors' Degree
• Strong analytical and planning skills
• Good communication and presentation skills
• Excellent problem-solving skills
• Preferred: With previous experience in billing
• Must be willing to work in BGC, Taguig for a nightshift schedule