Medical Biller

1 Month ago • All levels • $20,000 PA - $33,000 PA

Job Summary

Job Description

Neolytix is seeking a Medical Billing Specialist for a remote, full-time position. This role involves posting medical charges, payments, and journal entries accurately and promptly to patient accounts. Key responsibilities include processing claims with insurance companies, healthcare providers, and patients, verifying insurance filing information, and preparing, reviewing, and transmitting claims using billing software. The specialist will also follow up on unpaid claims, research and appeal denied claims, and ensure compliance with HIPAA. Additional duties include checking eligibility and benefits, reviewing patient bills for accuracy, and understanding insurance guidelines such as HMO/PPO, Medicare, and state Medicaid. Experience with eligibility verification, precertification, charge entry, and posting ERA/EOB is required. Knowledge of credentialing and denial management is advantageous.

Must have:

Post medical charges, payments, and journal entries.
Process claims with insurance companies, healthcare providers, and patients.
Verify insurance filing information.
Prepare, review, and transmit claims.
Follow up on unpaid claims.
Research and appeal denied claims.
Handle protected health information (HIPAA).
Check eligibility and benefit verification.
Review patient bills for accuracy.
Knowledge of insurance guidelines (HMO/PPO, Medicare, Medicaid).

Good to have:

Perform eligibility verification, precertification via web/verbally.
Obtain claim status from payers and document.
Read superbills and make charge entry.
Post ERA/EOB from various systems/websites.
Credentialing knowledge.
Denial management knowledge.

Perks:

Paid Training
Work From Home
Midshift Schedule
HMO
Government mandated Benefits
13 month pay
Paid Leaves
Holiday Pay
Work with diverse team members
Participate in hobby-based clubs

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Job Details

Job description

About Neolytix

Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices.

Working at Neolytix

At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun!

About this Position

Medical Billing Specialist is responsible for Posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner.

Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid.
Verifying correct insurance filing information on behalf of the client and patient
Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems.
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
Follow up on unpaid claims within the standard billing cycle time frame.
Research and appeal denied claims.
Meet individual and departmental standards with regard to quality and productivity.
Ability to handle protected health information in a manner consistent with the Health Insurance Portability and Accountability (HIPAA).
Check eligibility and benefit verification.
Review patient bills for accuracy and completeness and obtain any missing information
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.

Responsibilities and Duties

Able to perform eligibility verification, precertification, through the web or verbally with insurance companies.
Calling insurance companies and obtaining claim status with different payers & documenting it in the system.
Should be able to read superbills and make charge entry in PMS.
Ability to post ERA (Electronica Remittance Advice) & EOB (Explanation of Benefits) from various systems and websites.
Credentialing knowledge would be an added advantage
Denial management should be known.

Job Type: Full-time

Salary: 20,000 Php - Php 33,000.00 per month

Benefits:

Paid Training
WFH
Midshift Schedule
HMO
Government mandated Benefits, 13 month pay, Paid Leaves, Holiday Pay
Work with diverse team members across countries & cultures
Participate in Clubs based on your hobbies and share your passion with like minded enthusiasts