Medical Billing Specialist - AR and Charge Entry at Sourcefit

Position Summary:

We are looking for an experienced Medical Billing Specialist - AR and Charge Entry to join our healthcare team. This role requires a minimum of 3 years of experience in Accounts Receivable (AR) and proficiency in English due to frequent interactions with insurance payors. The ideal candidate will have extensive knowledge of Practice Management (PM) and Electronic Medical Record (EMR) systems, claims processing procedures, insurance portal usage and basic Microsoft Excel knowledge.. As a vital member of our team, you will ensure accurate and efficient medical billing processes without management responsibilities.

Job Details:

• Work from home
• Monday to Friday | 9 PM to 6 AM Manila Time
• *Following US Holidays

Responsibilities:

• Data Entry: Enter CPT and diagnostic codes into EMR accurately and efficiently.
• Claims Processing: Review and process insurance claims, ensuring accuracy and completeness of all necessary information. Rectify any discrepancies or errors in submissions.
• Denial Processing: Follow-up on unpaid claims via insurance portals and payor calls. Determine reason for denial and work it, based on company guidelines.
• Posting Payments: Post patient payments and EOB’s received in the mail, and ERA’s from payors.
• Dispute Resolution: Address and resolve billing disputes, discrepancies, and denied claims. Collaborate with insurance companies, healthcare providers and other team members for efficient problem-solving.
• Medical Records: Process medical record requests and submit records via fax, e-mail or portal to third parties and/or insurance companies.
• Documentation: Maintain detailed records of billing inquiries, and resolutions. Ensure proper documentation and filing of all billing and insurance information.

Qualifications:

• Minimum of 3 years’ experience in medical billing, specifically in Accounts Receivable.
• Proficiency in English with excellent verbal and written communication skills.
• Extensive experience with PM/EMR systems.
• Strong understanding of medical billing processes, insurance claims, and payment verification.
• Ability to explain complex billing concepts clearly.
• Proven track record in dispute resolution and claims processing.
• Exceptional organizational skills and attention to detail for accurate documentation and record-keeping