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Medical Claims Processing jobs

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    • Correcting denial claims and resubmitting claims.
    • Everyday responsibilities include processing data from medical coders, ensuring claims get processed and paid,…
    • Technical expertise: Strong understanding of healthcare billing systems, coding (ICD, CPT, HCPCS), and claims processing, as well as payer regulations,…
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    • Enter and process medical claims accurately using billing software.
    • Familiarity with insurance claims processing and denial management.
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    • Your role will involve verifying patient insurance eligibility, managing referrals, and ensuring accurate and timely claims processing.
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    • Understanding of health claims processing/adjudication.
    • 2+ years of experience working closely with US healthcare claims or in a claims processing/adjudication…
    • Medicare and Medi-Cal claims processing.
    • Maintain clear, complete, and audit-ready claim notes to support all claim decisions.
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    • Accept phone payments from patients, ensuring accurate processing and…
    • Strong understanding of claims processing for providers (physicians and/or hospitals).
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    • Experience in claims adjudication, medical billing, or healthcare insurance processing is preferred.
    • Reporting & Process Improvement: Monitor claim trends,…
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    • Knowledge of healthcare billing systems or legal procedures related to medical liens or claims.
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Job Post Details

Medical Biller - job post

Global Medical Virtual Assistants
Quezon City•Remote
PHP 540,000 - PHP 546,000 a year

Job details

Pay

  • PHP 540,000 - PHP 546,000 a year

Job type

  • Full-time

Full job description

A Medical Biller works in healthcare facilities and is responsible for submitting claims to insurance companies.

Everyday responsibilities include processing data from medical coders, ensuring claims get processed and paid, verifying insurance coverage, reviewing denied claims, and assisting patients with billing questions.

TASKS:

    • Managing inbound calls from and outbound calls to patients, providers, and healthcare insurance companies regarding inquiries, appointments, and data verification
    • Maintaining great phone etiquette
    • Helping with denials and follow-ups.
    • Correcting denial claims and resubmitting claims
    • Submitting electronic and paper claims to primary, secondary, and third-party insurance companies.
    • Recording and verifying explanation of benefits
    • Providing administrative support that includes: a) data entry and b) verifying insurance, follow-ups, and authorizations, and c) following up on and conducting collections as to outstanding balances and receivables

Requirements


QUALIFICATIONS:

    • Interested in US Healthcare Claims Customer Service
    • Must have excellent verbal and written English communication skills
    • Customer service experience in Insurance Billing
    • HIPAA Certification is a plus
    • Excellent time management
    • Strong attention to detail
    • Impartial
    • Highly organized
    • Computer savvy
    • Great work attitude and willingness to go the extra mile
      • Open to working night shifts

MINIMUM SYSTEM REQUIREMENTS:

  • PRIMARY SYSTEM
    • Computer Processor: Intel Core i5-6000 (6th Gen or higher) or AMD Ryzen 5 or higher
    • Computer Memory/RAM: 8.00 GB
    • Computer Operating System: At least Windows 11 64-bit or macOS Ventura
    • Headset: Any USB-type headset with noise-cancelling feature
    • Camera: Capable of a clear and crisp video output
  • BACK-UP SYSTEM
    • OPTION 1 (BACKUP SYSTEM):
      • Computer Processor: Intel Core i5-6000 (6th Gen or higher) or AMD Ryzen 5 or higher
      • Computer Memory/RAM: 8.00 GB
      • Computer Operating System: at least Windows 11 64-bit or macOS Ventura
      • Headset: Any USB-type headset with noise-cancelling feature (Optional)
    • OPTION 2 (POWER SUPPLY - UPS):
      • Must be capable of powering your work station for at least 3 hours
      • Typically a device with 240Wh or higher will be sufficient
      • Must be capable of accepting all the plugs required to maintain the primary device and work environment (device, monitor, modem, cell phone if using as internet backup)
  • PRIMARY INTERNET CONNECTION
    • DSL / Fiber Connection - Minimum of 100mb/s contracted
  • BACK-UP INTERNET CONNECTION
    • Minimum of 20mb/s (Cell)

RECOMMENDED SYSTEM REQUIREMENTS

  • PRIMARY SYSTEM
    • Computer Processor: Intel Core i7 and i9 Core or Core Ultra or AMD Ryzen 7 or higher
    • Computer Memory/RAM: 16.00 GB
    • Computer Operating System: At least Windows 11 64-bit or macOS Tahoe
    • Headset: Any USB-type headset with noise-cancelling feature
    • Camera: Capable of a clear and crisp video output
  • BACK-UP SYSTEM
    • OPTION 1 (BACKUP SYSTEM):
      • Computer Processor: Intel Core i7 and i9 Core or Core Ultra or AMD Ryzen 7 or higher
      • Computer Memory/RAM: 16.00 GB
      • Computer Operating System: At least Windows 11 64-bit or macOS Tahoe
      • Headset: Any USB-type headset with noise-cancelling feature
      • Camera: Capable of a clear and crisp video output
    • OPTION 2 (POWER SUPPLY - UPS):
      • Must be capable of powering your work station for at least 3 hours
      • Typically a device with 240Wh or higher will be sufficient
      • Must be capable of accepting all the plugs required to maintain the primary device and work environment (device, monitor, modem, cell phone if using as internet backup)
  • PRIMARY INTERNET CONNECTION
      • DSL / Fiber Connection - Minimum of 500mb/s contracted
  • BACK-UP INTERNET CONNECTION
      • Minimum of 20mb/s (Cell or wired)

Benefits


RATE AND REWARDS:

  • Starting rate is $800 (USD) monthly
  • Employment Type: Independent Contractor
  • Free Training
  • Paid Time Offs
  • HMO Coverage
  • Optical Rewards
  • Performance-Based Increase
  • Permanent Work From Home
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