Medical Biller - WFH Midshift - Remote

Overview

The Medical Billing Specialist is responsible for accurately posting medical charges and payments to patient accounts, working directly with insurance companies and healthcare providers to ensure claims are processed and paid.

In Short

• Work with insurance companies, healthcare providers, and patients to process claims.
• Verify insurance filing information and patient registration data.
• Prepare, review, and transmit claims using billing software.
• Follow up on unpaid claims and research denied claims.
• Maintain quality and productivity standards.
• Handle protected health information in compliance with HIPAA.
• Check eligibility and benefit verification.
• Review patient bills for accuracy and completeness.
• Knowledge of insurance guidelines including Medicare and state Medicaid.
• Credentialing knowledge is a plus.

Requirements

• Experience in medical billing and claims processing.
• Ability to perform eligibility verification and precertification.
• Proficient in using billing software.
• Strong communication skills for interacting with insurance companies.
• Understanding of denial management processes.

Benefits

• Paid training.
• Work from home opportunity.
• Midshift schedule.
• Health Maintenance Organization (HMO) coverage.
• Government mandated benefits including 13th month pay and paid leaves.
• Work with a diverse team across cultures.
• Participate in clubs based on personal hobbies.