Medical Biller
Medrevenu Inc., Metro Manila
(Metro Manila), Philippines
9d ago
source : Jobs Bulletin

Job Overview :

The medical biller will be responsible for encoding of patient information, validation of insurance coverage and in the initiation of medical claims payment posting.

Hence, medical biller is expected to have proficiency in the use of the billing software and must follow policies on patient confidentiality.

The ideal candidate will be expected to be familiar with medical terminology, ICD 10 and CPT codes, California Medical Insurance regulations for both Medicare and HMO’s.

Responsibilities and Duties :

  • Completely encode patient demographics into the billing software
  • Validate and encode insurance coverage of patients
  • Ensure that payments are made to the correct healthcare provider
  • Ensure accuracy of work output at all times
  • Post medical claims information as line items into the system
  • Ensure accuracy of entries related but not limited to CPT and ICD 10 codes
  • Monitor individual and group work output by submission of productivity reports
  • Perform quality audits of entered medical bills
  • Request and follow-up missing information pertaining to a claim
  • Keep up to date with coding rules on ICD 10 and CPT
  • Be familiar with regulations and guidelines set by Medicare, State Programs, HMO and PPO
  • Maintain patient confidentiality
  • Provide timely and meaningful reports as required
  • Qualifications :

  • Any 4-year course, preferably medical, accounting, business administration
  • Preferably with 1-2 year experience as a medical biller or medical coder or data encoder
  • Proficient computer skills, high attention to detail
  • Self- motivated, fast-learner with the right culture-fit
  • Proficient in Microsoft Office (Word, Excel, Powerpoint, Outlook)
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