Medical Biller

2 Months ago • All levels

Job Summary

Job Description

The Medical Billing Specialist is responsible for accurately and timely posting medical charges, payments, and journal entries to patient accounts. This involves direct interaction with insurance companies, healthcare providers, and patients to ensure claims are processed and paid. Responsibilities include verifying insurance information, addressing coding issues, preparing and transmitting claims, following up on unpaid claims, researching and appealing denied claims, and maintaining compliance with HIPAA regulations. The specialist will also handle eligibility verification, precertification, obtain claim status, make charge entries, post ERA and EOB, and manage denials.
Must have:
  • Verify insurance filing information for clients and patients.
  • Prepare and transmit claims using billing software.
  • Follow up on unpaid claims within the standard time frame.
  • Research and appeal denied claims.
  • Check eligibility and benefit verification.
  • Ability to post ERA (Electronic Remittance Advice) & EOB (Explanation of Benefits)
Good to have:
  • Credentialing knowledge
Perks:
  • 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

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

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