Key Responsibilities
- Enter patient demographics, insurance details, and charges accurately
- Ensure compliance with HIPAA and internal guidelines
- Verify patient eligibility and payer information prior to charge entry
- Process and submit claims; correct rejections and minimize denials
- Maintain accuracy and meet productivity standards in claims processing
- Post insurance and patient payments with daily reconciliation
- Verify bulk checks, insurance payments, and correspondence before posting
- Follow up on outstanding claims and manage appeals
- Communicate with insurance payers for claim resolution
- Maintain documentation of claims activity and correspondence
- Generate and send accurate patient statements
- Apply appropriate insurance adjustments and write-offs
- Update Daily Work Confirmation Report and submit sign-offs
Qualifications
- Minimum 5 years of experience in medical billing, revenue cycle, or healthcare finance
- Strong understanding of claim submission, payer requirements, denial management, and reconciliation
- Proficient in billing systems and EMR platforms (e.g., eClinicalWorks, Kareo, NextGen)
- Knowledge of HIPAA and healthcare regulatory compliance
- Strong organizational, analytical, and problem-solving skills
- Excellent communication and team leadership skills
Job Types: Full-time, Permanent
Pay: Up to Php55,000.00 per month
Benefits:
- Opportunities for promotion
- Promotion to permanent employee
Schedule:
- 8 hour shift
Work Location: In person
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