Medical Billing Specialist

Position Summary:

We are seeking a Medical Billing Specialist with hands-on experience using AdvancedMD. The ideal candidate will have a solid understanding of end-to-end revenue cycle processes, a keen eye for detail, and the ability to collaborate effectively with team members, providers, and payers.

Job Details:

• Medical Billing Specialist
• Permanent work from home
• Monday to Friday | 10 PM to 7 AM Manila Time (Flexibility to start earlier may be considered after training, depending on performance)
• *Following US Holidays

Responsibilities:

• Research and resolve claim rejections/exclusions and unbilled, implementing measures to prevent future occurrences.
• Document all account activities accurately and in a timely manner.
• Post adjustments and manage collections from various types of payers.
• Exhibit proficiency with billing systems and leverage all functionality to ensure the most efficient processing of claims.
• Maintain up-to-date knowledge of changes in billing and coding guidelines, payer contracts, and government regulations.
• Collaborate with team members and providers, fostering a positive and productive work environment.

Qualifications:

• At least 2 years of strong background in end-to-end revenue cycle processes, including eligibility verification, charge review, claims submission, denial management, and collections, is required.
• Experience in AdvancedMD is required.
• Candidates must demonstrate an ability to work collaboratively with team members and healthcare providers.
• Candidates must be able to function in a fast-paced work environment and handle occasional periods of above-average pressure.
• Excellent customer service skills are necessary, as the role involves interacting with various stakeholders, insurance companies, and healthcare providers.