Medical Billing Specialist

What you will do;
Obtaining referrals and pre-authorizations as required for procedures
Checking Eligibility and Benefits verification for treatments, hospitalization, and procedures
Reviewing patient bills for accuracy and completeness and obtaining any missing information
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Following up on unpaid claims within the standard billing cycle timeframe.
Checking each insurance payment for accuracy and compliance with contract discount.
Qualifications:
1-5 years of experience in Medical Billing
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
Knowledge of medical terminology likely to be encountered in medical claims.
Amenable to work in Imus Cavite or work from home (must have a stable internet connection and PC/Laptop)