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    • We represent medical providers in obtaining proper reimbursement from health insurance carriers via a.
    • Reviewing electronic medical case files.
    • View all OUTSOURCED QUALITY ASSURED SERVICES jobs - Philippines jobs - Administrative Assistant jobs in Philippines
    • Salary Search: Medical Admin Assistant (Homebased) salaries in Philippines
    • See popular questions & answers about OUTSOURCED QUALITY ASSURED SERVICES
    • Submit medical claims accurately and efficiently to insurance payers.
    • You will spend the majority of your day submitting medical claims, following up with…
    • Review patient accounts and verify insurance eligibility and benefits through payer portals, OneSource, Availity, and direct calls to insurance payers when…
    • Previous experience in U.S. insurance operations or commercial lines insurance.
    • Experience supporting an insurance agency, broker, or account management team.
    • At least six (6) months to 1 year relevant experience in medical insurance processes.
    • As an Insurance Specialist, you will support healthcare providers by…
    • Strong understanding of medical terminology, insurance verification, and billing workflows.
    • Prior experience in medical billing, healthcare revenue cycle…
    • This solution is utilized by medical insurance payers across the United States.
    • Previous experience working with US health insurance payers in a claims, appeals…
    • Review patient accounts, charges, medical records, and insurance information for billing accuracy.
    • Experience working with U.S. insurance payers.
    • At least six (6) months to 1 year relevant experience in medical insurance processes.
    • As an Insurance Specialist, you will support healthcare providers by…
    • Experience working with commercial insurance payers and payer portals.
    • Hands-on experience with healthcare insurance payer enrollment processes.
    • Bill Medicare, Medicaid and other insurance carriers.
    • Familiarity with prior authorizations and medical necessity documentation for DME.
    • Working knowledge of DRG and APC concepts, readmission logic, medical necessity indicators, and post-payment review.
    • Member eligibility and cost share.
    • Understand and apply knowledge of medical coding (if applicable) and various medical claim forms to the claims process.
  • View similar jobs with this employer
    • With 20+ years of business expertise, we provide healthcare staffing solutions across nursing, medical billing, case management, HR, and administrative…
    • In this role, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.

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Medical Admin Assistant (Homebased)
OUTSOURCED QUALITY ASSURED SERVICES
·
4.2
Philippines
•
Remote
Full-time
Apply on company site

Job details

Pay information not provided
Full-time
Remote in Philippines

Full job description

Full Time Employee

Job Summary

who can assist in reviewing medical records and EOBs, compile documents for review, and enter file information into our case management system

Job Description

We represent medical providers in obtaining proper reimbursement from health insurance carriers via a
Federal Arbitration process. We are looking for a medical administrative assistant who can assist in
reviewing medical records and EOBs, compile documents for review, and enter file information into our
case management system. Experience working in the realm of medical billing and revenue cycle or
internally for a health insurance company would be preferable in a candidate's ability to succeed in this
role. An ability to work with and utilize our case management system and a high level of
communicativeness is essential since this role is reliant upon consistency, training, and teamwork.

The primary duties of this position will include
  • Reviewing electronic medical case files
  • Identifying insurance information via EOB's
  • Process and obtain information from EOB's
  • Reviewing insurance claims for next steps
  • Compiling medical documents and entering case information
  • Cross-training and teamwork
  • Attention to detail is extremely important
Experience Needed
  • Data entry and administrative tasks
  • Writing and drafting documents and emails using templates
  • Organization of exhibits and records
  • Communication skills via email and telephone are essential
  • The ability to work as part of a team and ask questions is essential
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