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Medical Billers jobs in Makati

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    • *Candidate must possess at least Bachelor's/College Degree in Nursing or any medical allied courses.
    • Manages utilization by thorough probing of medical history…
    • View all VALUE CARE HEALTH SYSTEMS, INC. jobs - Makati jobs
    • Salary Search: HMO STAFF - MAKATI/TAGUIG salaries
    • See popular questions & answers about VALUE CARE HEALTH SYSTEMS, INC.
    • A medical virtual assistant works closely with medical professionals or health insurance companies to ensure that the best interests of the healthcare provider,…
    • Familiar with medical terminologies and clinical workflows.
    • At least 1–2 years of experience as a medical scribe or in a clinical documentation role.
    • Everyday responsibilities include processing data from medical coders, ensuring claims get processed and paid, verifying insurance coverage, reviewing denied…
    • In this role, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.
    • Experience working with electronic medical records (EMR/EHR) and medical billing systems.
    • Minimum of 1 year of experience in healthcare customer service,…
    • A Degree in a medical or healthcare-related field is preferred.
    • A Virtual Medical Manager manages and leads a team of virtual assistants, with the primary role…
    • Efficient medical biller needed to manage claims, verifications, charge entry and payment posting for smooth and accurate RCM operations.
    • Working knowledge of DRG and APC concepts, readmission logic, medical necessity indicators, and post-payment review.
    • Member eligibility and cost share.
    • Research and correct rejected claims and post payments.
    • Resubmissions of claims as required with supporting documentation as needed.
    • Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies.
    • Manage referrals, faxes, and medical records.
    • Medical billing, medical receptionist, or healthcare VA experience preferred.
    • *At least 3 years of experience in healthcare revenue cycle management, denials, appeals, medical billing, insurance follow-up, accounts receivable, or a…
    • Proficiency in understanding coding denials and code sets (ICD-10, CPT04, HCPCS) and understanding of medical records.
    • At least 2nd year college undergrad.
    • Possible WFH (Based on Performance).
    • At least 2 years of Inpatient DRG Coding experience.
    • Bachelor's Degree in an Allied Health course.
    • MS-DRG and APR-DRG.
HMO STAFF - MAKATI/TAGUIG
VALUE CARE HEALTH SYSTEMS, INC.
·
3.6
Makati
Fixed term, Temporary
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Job details

Here’s how the job details align with your profile.

Job type

Fixed term
Temporary

Full job description

Be part of our growing TEAM!

We are looking for goal-oriented individuals to fill in the HMO Staff Role.

JOB DESCRIPTION

  • Manages utilization by thorough probing of medical history and status of members, redirecting them to cost-efficient providers as necessary, scrutinizing hospital billing statements, and properly advising them before issuing approval codes for the appropriate laboratory/ diagnostics requests.
  • Correctly and professionally instructs client on the proper procedure of availing their benefits within 24 hours of confinement.
  • Thoroughly attends to member’s inquiries and concerns and extends professional and courteous customer service assistance to all clients and providers
  • Conducts regular visits to accredited hospitals, clinics and other accredited health facilities as conditions would permit.

QUALIFICATIONS:

  • Candidate must possess at least Bachelor's/College Degree in Nursing or any medical allied courses. Business courses are also accepted
  • Must have good communication and interpersonal skills.
  • Ability to multi-task while working under minimal supervision.
  • Computer literate with proficiency in MS Office using MS Word and MS Excel.
  • Willing to be assigned to different clinics/hospitals within Makati/Taguig.
  • Mondays-Fridays, 8:00 am- 5:00 pm and Saturdays, 8:00 am - 11:00 am

Benefits:

  • Company Christmas gift
  • Company events
  • Opportunities for promotion
  • Paid training

Education:

  • Bachelor's (Preferred)

Experience:

  • Customer Service Representative: 1 year (Preferred)

Language:

  • English (Preferred)

Work Location: In person

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