WFH Medical Biller

Job Description

This is a remote position.

Night Shift Schedule:

Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)

Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)

Description:

We are seeking a meticulous and dedicated Medical Biller to join our healthcare team. The successful candidate will be responsible for processing patient data, including medical records and billing information, submitting and tracking claims with insurance companies, and ensuring accurate and timely payment for healthcare services. The Medical Biller will work closely with healthcare providers and insurance companies to resolve billing discrepancies, verify insurance coverage, and process payment posting.

Preference:

● At least 1 year experience in US-based medical billing practice or 1 year experience in a medical practice dealing with billing including but not limited to, provider credentialing, auth, reimbursement, etc.

Responsibilities:

• Post insurance company payments and/or responses into the various systems based on client, such as electronic, ERA, or paper explanation of benefits.

• Daily checks on the pending amounts due from carriers and act accordingly.

• Reviewing the recent codes of partial and full denials, utilizing carrier portals or calling for clarification as well as resubmission and reconsider of given claims with appropriate reasons.

• Prepare appeals to be sent by reimbursement representative.

• Report to reimbursement team member any item that is not resolved within a timely manner 

• Report to reimbursement team member any specific patients with partial and full denials, identify why denied, and find ways to avoid the issue(s) that might be triggering it.

• Check with carriers on no-response claims based on predefined dates.

• Prepare amounts outstanding and key issues for the reimbursement team member.

• Follow up on appeals and claims sent for reconsiderations.

• Attend daily meetings with reimbursement team member.

• Attend weekly team meetings, completing the to-do’s assigned to reimbursement team member.

• Other duties as assigned.
  

Core Values:

We hire/fire/promote based on these core values + job-specific performance.

1. Respectful of our unique cultural environment

2. Absolute confidentiality

3. Embracing teamwork

4. Loyal behavior and positive attitude

5. Accountability

6. Pro activeness

7. Thoroughness

8. Focused on results

9. Inspired to learn and grow constantly

10. Devoted to providing top-tier services to our clients through the company's "Unique Service Oriented Philosophies"

Requirements

● At least 2 years in College

● Must have backup power supply (extra laptop/powerbank/generator/power station)

● Must have backup internet (not mobile data)

● Detail oriented with above-average organizational skill

● Able to plan and prioritize to meet deadlines

● Excellent verbal and written communication

● Communicates clearly and effectively

● Excellent reading comprehension

● Excellent computer skills, including Microsoft programs such as Excel, Word

● Thorough understanding of navigating the internet

Independent Contractor Perks

• Permanent work from home

• Immediate hiring

• Steady freelance job

• Profit sharing incentive

• Paid time off

• Holiday pay

• Annual Performance and Raise Evaluation

• Quarterly Perfect Attendance Incentive

• HMO

• BruntWork Loan Assistance