Medical Billing Specialist
Vor 3 Tagen
Position Summary:
The Medical Billing Specialist will be responsible for managing and processing medical claims, ensuring accuracy, and maintaining compliance with relevant regulations.
This role requires expertise in using Medisoft and/or eCW for payment posting, as well as a strong understanding of out-of-network health Insurance, Workers' Compensation, and Personal Injury Protection (PIP) claims in the U.S.
The ideal candidate will be detail-oriented, capable of working in a fast-paced environment, and possess strong analytical skills.
Job Details:
Medical Billing Specialist Work from home Monday to Friday| 8 PM to 5 AM Manila Time Responsibilities:
Payment Posting: Accurately post payments using Medisoft and/or eCW Reconcile posted payments with Explanation of Payments Identify and correct any discrepancies in payment posting Claims Management: Process and manage Out of Network Health Insurance, Workers Compensation, and PIP claims Ensure timely and accurate submission of claims Follow up on unpaid or denied claims to ensure maximum revenue realization Data Analysis and Reporting: Analyze billing data to identify trends, errors, and opportunities for improvement Prepare and submit reports on billing activities and outcomes Collaborate with the management team to develop strategies for optimizing billing processes Compliance and Documentation: Maintain up-to-date knowledge of industry regulations and compliance
requirements Ensure all billing activities are compliant with relevant laws and guidelines Accurately document all billing and claims activities Qualifications:
Proven experience using Medisoft and/or eCW (eClinicalWorks) for payment posting Strong knowledge of Out of Network Health Insurance, Workers Compensation, and PIP claims in the U.S Exceptional attention to detail and accuracy Ability to work efficiently in a fast-paced environment Strong analytical and problem-solving skills Ability to work independently and as part of a team Proficiency in Microsoft Office Suite (Excel, Word, Outlook) #J-18808-Ljbffr
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