Offer summary

Qualifications:

Proven experience as a Medical Biller with hands-on use of Athena billing software., Strong understanding of US Healthcare insurance guidelines and billing practices., Ability to verify insurance eligibility and benefits accurately., Excellent attention to detail and organizational skills..

Key responsibilities:

Post medical charges, payments, and journal entries to patient accounts.

Manage claims processing by working with insurance companies, providers, and patients.

Verify insurance eligibility and benefits, and prepare claims using Athena software.

Follow up on unpaid or denied claims and handle appeals to maximize reimbursements.

Job description

US Healthcare Medical Biller for Athena - WFH/Remote Job

Location: Remote (Philippines-based) Employment Type: Full-time, Mid-level

Are you an experienced Medical Biller with a strong command of the Athena platform? Do you thrive in a remote work environment and are looking for a role where your expertise directly impacts healthcare revenue cycles? Neolytix is looking for a dedicated Athena Medical Biller to join our growing team!

At Neolytix, we specialize in comprehensive revenue cycle management, helping healthcare providers maximize reimbursements and maintain compliance. We pride ourselves on our commitment to efficiency, accuracy, and client satisfaction. If you're passionate about medical billing and ready to contribute to a dynamic, diverse team, we want to hear from you!

What You'll Do:

As an Athena Medical Biller, you will be a crucial part of our operations, ensuring seamless financial processes for our US healthcare clients. Your responsibilities will include:

Accurately posting medical charges, payments, and journal entries to patient accounts.
Working directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims.
Verifying insurance eligibility and benefits, along with patient registration data.
Preparing and transmitting claims using the Athena billing software.
Proactively following up on unpaid claims and researching denied claims to ensure maximum reimbursement.
Expertly appealing denied claims, navigating complex insurance guidelines.
Ensuring strict compliance with all HIPAA regulations and industry standards.
Performing eligibility verification and obtaining accurate claim statuses from various insurance payers.
Reviewing patient bills and reading superbills for precise charge entries.
Posting Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) from diverse systems.

What We're Looking For:

Proven experience as a Medical Biller, specifically with extensive hands-on experience using the Athena billing software/EMR.
Solid understanding of US Healthcare insurance guidelines and medical billing best practices.
Demonstrated ability to perform eligibility and benefit verification.
Proficiency in obtaining claim statuses and navigating payer portals.
Experience with charge entry from superbills and posting ERA/EOB.
Strong commitment to maintaining HIPAA compliance.
Excellent attention to detail and organizational skills.
Effective communication skills, both written and verbal.

Nice-to-Haves:

Knowledge of credentialing processes.
Experience in denial management and appeals.

Why Join Neolytix?

Work From Home: Enjoy the flexibility and comfort of a remote work arrangement.
Midshift Schedule: A convenient schedule that supports work-life balance.
Competitive Salary: Earn a monthly salary ranging from Php 20,000 to Php 33,000.
Performance Bonus: Opportunity to earn up to a 20% performance bonus.
Paid Training: Comprehensive training to ensure your success in the role.
HMO Benefits: Access to health maintenance organization benefits.
Government-Mandated Benefits: All standard government benefits are provided.
Diverse Team: Collaborate and grow with a supportive and diverse group of professionals.
Professional Growth: Opportunities to enhance your skills and advance your career in the thriving RCM industry.