Outwork Staffing

Medical Billing Specialist

Outwork Staffing

full-time

Posted on:

Location Type: Remote

Location: Philippines

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Salary

💰 $1,700 - $1,800 per month

About the role

  • - **Claims Generation:** Prepare, review, and submit claims to insurance carriers and third-party payers in compliance with regulatory and payer-specific requirements.
  • - **Denial Follow-Up:** Investigate, appeal, and resolve denied or rejected claims to ensure timely reimbursement and minimize revenue loss.
  • - **Payment Posting:** Accurately record and reconcile payments, adjustments, and remittances in the billing system to keep accounts up to date.
  • - **Trend Communication:** Identify recurring issues, payer trends, and denial patterns; prepare reports and communicate findings to management for process improvement.
  • - **Collaboration:** Partner with clinical staff, patient services, authorization specialists, and finance teams to resolve billing discrepancies and improve workflow efficiency.
  • - **Compliance:** Maintain knowledge of HIPAA regulations, payer guidelines, and industry standards to ensure compliant billing practices.
  • - Support and maintain accuracy of data in the authorization spreadsheet.
  • - Communicate with the clinical team and authorization specialists to ensure proper insurance and authorization coverage for clients.
  • - Accurately audit CentralReach data within prescribed weekly timelines.
  • - Update CentralReach to reconcile accounts with correct insurance, client, and payment information.
  • - Contact insurance companies to resolve claims and achieve resolution of recurring or trending issues.
  • - Generate and update spreadsheets for workflow tracking and reporting.
  • - Support the RCM team in developing and maintaining efficient billing processes.
  • - Maintain compliant processes across all areas of billing.
  • - Complete additional duties as assigned by management.

Requirements

  • - Experience with medical billing and credentialing using CentralReach
  • - Strong attention to detail and accuracy
  • - Professional written and verbal communication skills
  • - Strong problem-solving and troubleshooting abilities
  • - Ability to meet deadlines and work both independently and collaboratively
  • - Comfortable performing routine and repetitive tasks
  • - Understanding of billing workflows and systems
  • - Ability to maintain HIPAA compliance while working remotely
  • - Basic math skills
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical billingcredentialingclaims generationdenial follow-uppayment postingdata auditingbilling workflowsHIPAA complianceCentralReachreport generation
Soft Skills
attention to detailprofessional communicationproblem-solvingtroubleshootingdeadline managementcollaborationindependenceadaptabilityaccuracyworkflow efficiency