Manager, Coding - Radiology
Medsuite Inc
Medical Billing Specialist – Collections
Sourcefit
full-time
Posted on:
Origin: • 🇵🇭 Philippines
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Assist clients in collecting payments from insurance companies for medical services rendered to patients.
- Review/Analyze explanation of benefits (EOB), Remittance Advice, and Denials from Payers to drive resolution for accounts receivable.
- Preparation and analysis of aging reports.
- Use all channels available to resolve and collect account receivables with payers, including utilizing payer portals and outbound calls to the provider desk.
- Review or update claims, corrections, and upload required documents in clearinghouse portals.
- Identify underpayments and prepare documents for appeals.
- Create batches and post-received payments.
- Code claims accordingly with CPT and ICD-10 codes.
- Post charges to create a claim and submit it to clearinghouses.
- Contact patients, providers, and payers to check eligibility, pre-cert, or follow up on claims/appeals.
- Identify billing errors and denials by understanding the problem and resubmit corrected claims or take other appropriate action to resolution.
- Perform other duties assigned by management.
Requirements
- At least 3 years of experience in Medical Billing and Collections.
- Knowledge of medical billing codes, including CPT and HCPCS coding, claims modifiers, and ICD-10 diagnosis coding.
- Familiarity with Revenue Cycle Management (RCM) systems, Practice Management Systems (PMS), and tools.
- Experience using ChiroTouch is A MUST.
- Understanding of different types of insurance coverages and claims, including Health, Workers' Comp, and Auto.
- Ability to read and interpret EOBs (Explanation of Benefits).
- Experience in coordinating with insurance companies.
- Strong adaptability and ability to learn quickly.
- Proven efficiency and punctuality in completing tasks.
- Previous experience in Orthopedic, Spine Surgery and Pain Management Specialty is a plus
