Medical Biller
Friendlysoft Technology, Inc.
- Pasig, PhilippinesUnit 708 Pacific Center Bldg., 32 San Miguel Ave. Ortigas Pasig City, Pasig, Metro Manila, PhilippinesPasigMetro ManilaPhilippinesPhilippines
- Full timeFULL_TIME
Job closed.
Job Description
The main responsibility is to collect unpaid claims from private insurances, Medicaid, Medicare, IPA's and patients. This can be obtained thru:
- Analyze the responses (EOBs, COBs) from payers.
- Assess the unpaid claims to make adjustments as necessary as well as make appropriate notes of actions and changes.
- Review the payer’s contracts to clarify claim payment qualification.
- Call insurances to check claim status or follow up on unpaid claims.
- Find out the reason the claims were not reimbursed.
- Research for possible solutions to fix claims in order to be paid.
- Retrieve all the necessary documents to support the payment requirements.
- Prepare necessary forms to appeal or dispute the denial of claims.
- Resubmit corrected claims through the method of electronic or paper submission.
- Advise clients of appropriate codes to be used to ensure reimbursement.
Minimum Qualifications
- Bachelor's Degree; a healthcare-related course is preferred but not a required.
- Experience in medical billing/collection in US Healthcare industry is required; however, we may consider individual with strong English communication skills (written and oral) and the ability to adapt and learn medical terminology within a specific time frame.
- Must have strong call handling, writing and reading skills.
- Knowledge of CPT, HCPCS, ICD 9 and 10 (including a basic understanding of Medical Terminology) is an advantage.
- Minimum typing speed of 45 wpm.
- Proficiency in a range of computer software applications (such as MS Word and Excel).
- Good analytical skills.
- Excellent organization and time management skills.
- Able to work independently with minimal supervision and can handle a number of projects simultaneously.
- Flexibility to work additional hours as necessary.
Jobs Summary
- Job Level
- Associate / Supervisor
- Job Category
- Health and Medical
- Educational Requirement
- Completed associate's degree
- Recruiter response to application
- Once in a while
- Office Address
- Unit 708 Pacific Center Bldg., 32 San Miguel Ave. Ortigas Pasig City, Pasig, Metro Manila, Philippines
- Industry
- Business Process Outsourcing
- Vacancy
- 1 opening
About Friendlysoft Technology, Inc.
FriendlySoft Technology, Inc. is a branch office of Excellentflow Management Solutions, Inc. based in California, USA. Excellentflow was first established in 1995 pioneering in the healthcare trade business. We provide services in medical billing, management consultation and software.