Medical Biller (English)
We are seeking a skilled and experienced Medical Biller to join our team. The successful candidate will demonstrate a strong attention to detail and accuracy in claims processing, along with excellent communication and interpersonal skills for effective collaboration with team members, insurance companies, and patients.
Duties and Responsibilities:
- Utilize proficient understanding of CPT & ICD-10 coding and medical billing procedures to accurately prepare and submit medical insurance claims.
- Demonstrate knowledge of insurance claim submission processes and reimbursement practices to ensure timely reimbursement.
- Verify and review claim information for completeness and compliance with billing regulations.
- Record and reconcile payments received from insurance companies and patients.
- Ensure accurate posting of payments and adjustments in the billing system.
- Collaborate effectively with team members, insurance companies, and patients to resolve any billing discrepancies or issues.
- Managing insurance and patient Accounts Receivable (A/R), resolving billing discrepancies, addressing insurance denials and rejections by sending claims for reprocessing and/or submitting corrected claims/appeals as necessary.
- Credentialing for major insurance companies for in-network and out-of-network providers under the client’s NPI (including VA network).
- Ensure Insurance Contracts Negotiation
- Ensure Hospital & Payor Credentialing
Requirements
- Proven experience as a Medical Biller or Medical Administrative Assistant in a healthcare setting, preferably in a medical massage clinic or related field.
- Proficiency in medical billing and coding procedures, including knowledge of CPT and ICD-10 codes relevant to medical massage services.
- Credentialing for major insurance companies for in-network and out-of-network providers under the client’s NPI (including VA network).
- Experience with electronic billing systems and medical billing software for submitting claims, processing payments, and managing patient accounts.
- Knowledge and experience in verifying patient insurance coverage and eligibility for medical massage services, including familiarity with various insurance plans and authorization requirements.
- Ability to communicate effectively with insurance companies and third-party payers to obtain pre-authorizations and verify coverage for treatment.
- Ability to generate and send patient statements, process payments, and follow up on outstanding balances or delinquent accounts.
- Experience in handling patient inquiries and concerns related to billing, insurance coverage, and payment options with professionalism and empathy.
- Proficiency in using electronic medical records (EMR) systems to enter patient information, update treatment records, and document billing and coding information accurately.
- Ability to provide administrative support to the clinic, including answering phones, greeting patients, and assisting with front desk duties as needed.
- Strong organizational skills and attention to detail in managing administrative tasks, such as filing, data entry, and correspondence.
- Excellent communication and interpersonal skills, with the ability to interact professionally and effectively with patients, healthcare providers, and colleagues.
- Knowledge of HIPAA regulations and patient privacy laws, with a commitment to maintaining confidentiality and safeguarding patient information at all times.
- Willingness to pursue ongoing training and certification in medical billing and coding, as well as other relevant areas of healthcare administration, to stay current with industry trends and best practices.
- Willing to work in the Pacific Time (PST) schedule (8:00 AM – 4:00 PM PST).
- With own Laptop or Desktop (8GB RAM, Core 5 or above & Microsoft Office) with an internet connection of at least 10mbps.
Benefits
Competitive Compensation: Earn a salary rate per hour of $5-6 for a full-time commitment of 40 hours per week based on your experience and skills. We believe in recognizing and valuing your contributions, ensuring you’re rewarded for your hard work.
Thriving Towards Retirement: Build a secure future with our retirement plan, ensuring you’re well-prepared to embark on your next chapter when the time comes.
Health Guardian: Your well-being is our top priority. Enjoy comprehensive health insurance coverage, providing you with peace of mind and access to top-notch medical care in your country*.
Supercharged Wi-Fi Connectivity: Stay connected and productive with a $25 monthly subsidy towards your home Wi-Fi. Power through your tasks with lightning speed and efficiency.
✈️ Unleash Your Wanderlust: Take advantage of our generous paid time off (PTO) and paid sick leave policies. Whether it’s exploring new destinations or taking a well-deserved break, we’ve got you covered, ensuring you can recharge and return refreshed.
Celebrate Your Success: Prepare for an unforgettable anniversary recognition program that celebrates your commitment and accomplishments. Experience the thrill of being acknowledged with special rewards and heartfelt gratitude for your dedication.
Ready to embark on this exciting journey? Apply now!
At Virtual Staffing Careers, we connect talented individuals with amazing work-from-home opportunities. We understand the demand for flexible remote work and have built strong relationships with top companies across the U.S. Our experienced team matches your unique skills and aspirations with Virtual Staffing Careers, we connect talented individuals with amazing work-from-home opportunities. We understand the demand for flexible remote work and have built strong relationships with top companies across the U.S. Our experienced team matches your unique skills and aspirations with the perfect remote positions. From entry-level to executive roles, we have a wide range of opportunities available.
IMPORTANT: PLEASE SUBMIT YOUR AUDIO AND RESUME IN ENGLISH.