Medical Billing and Coding

• Complete assigned development tasks using Codex, Claude, or similar AI coding tools
• Work independently while following project requirements and coding standards
• Ask clarifying questions early to ensure a strong understanding of assigned work
• Develop, test, and troubleshoot code as needed
• Participate in periodic check-ins to provide progress updates
• Maintain clean, organized, and well-documented code
• Identify issues and recommend solutions during development
• Collaborate with the client to ensure tasks are completed accurately and efficiently

Vibe Coder

• Schedule and coordinate patient appointments across two office locations
• Manage appointment reminders to reduce patient no-shows
• Reschedule appointments as needed while maintaining provider availability
• Coordinate patient follow-ups and scheduling communications
• Maintain accurate scheduling records across all systems
• Process daily medical billing tasks
• Follow up on unpaid and denied insurance claims
• Assist with Revenue Cycle Management (RCM) activities
• Identify and resolve claim denials to maximize reimbursements
• Support billing documentation and account reconciliation
• Verify patient insurance eligibility and benefits
• Submit, track, and manage prior authorization requests
• Access and download authorization information through the Optum portal
• Maintain authorization tracking records and documentation
• Coordinate with insurance companies regarding authorization approvals and updates
• Handle inbound and outbound patient phone calls
• Assist with patient follow-up communications
• Update spreadsheets and patient information
• Office Ally (primary practice management system)
• Clearinghouse (for scheduling and patient information)
• Square (for appointment holds/payment processing)
• Optum (insurance portal with authorization access)
• Custom spreadsheets for patient data, referral doctor information, test requirements, and authorization tracking
• Basic phone system (traditional phone line)

Medical Billing & Scheduling Coordinator

• Medical Billing: Manage the full medical billing cycle, including claim submission, insurance claim follow-up, payment posting, denial resolution, and overall billing workflow.
• Patient Communication: Handle inbound and outbound calls professionally.
• Respond to billing inquiries from patients and insurance companies.
• Provide timely follow-up regarding outstanding balances or claim-related concerns.
• Athena EMR & Documentation: Accurately document billing activities and communications in Athena EMR.
• Maintain organized billing records.
• Ensure timely follow-up on outstanding accounts.
• Team Collaboration: Work closely with the office team to resolve billing questions, account discrepancies, and other payment-related issues.

Medical Billing Specialist – Endocrine Care

• Process medical claims accurately for oral surgery procedures
• Perform cross-coding between dental and medical insurance
• Review documentation to ensure accurate coding and billing submission
• Support insurance reimbursement processes and resolve billing discrepancies
• Maintain accurate billing records and documentation
• Verify insurance eligibility and benefits as needed
• Assist with claim follow-ups and reimbursement tracking
• Ensure all billing activities comply with HIPAA and healthcare regulations
• Protect confidential patient information and maintain accurate documentation
• Utilize Open Dental to manage billing workflows, patient records, and practice information
• Collaborate with providers and administrative staff to support billing workflows
• Maintain organized billing records and reports
• Assist with workflow improvements and operational projects as assigned
• Perform additional administrative duties to support the practice as needed

Medical Billing & Cross-Coding Specialist – Oral Surgery

• Submit insurance claims accurately and in a timely manner.
• Verify patient insurance eligibility and benefits.
• Follow up on unpaid, pending, and denied insurance claims.
• Manage Accounts Receivable (A/R) and reduce outstanding balances.
• Contact insurance companies regarding claim status, corrections, and appeals.
• Monitor billing reports and identify opportunities to improve collections.
• Maintain accurate billing records and documentation.
• Help ensure timely reimbursement and consistent revenue collection.
• Assist with incoming phone calls during overflow periods.
• Support prior authorization requests when needed.
• Help with general administrative tasks during lighter billing periods.

Medical Billing Specialist – Part-Time

• Learn new systems of clients and effectively transfer knowledge to subordinates.
• Lead designated team, ensuring accurate and timely submission of deliverables.
• Coach subordinates and develop their skills.
• Assist Supervisor/Assistant Manager/Manager in directing the team towards the company's goals.
• Ensures compliance with company guidelines and procedures.
• Addressing any conflicts within the team that may arise.
• Create accurate medical insurance claims and ensure timely submission.
• Rectify claim denials with resubmission or appeals.
• Formulate and execute strategies to mitigate claim denials.
• Learn and implement specialty, state, carrier specific billing requirements.

Medical Billing Team Leader

• Ensure the preparation of accurate and compliant medical insurance claims for timely submission
• Oversee the submission of claims to insurance companies, ensuring adherence to deadlines
• Address claim denials by coordinating resubmissions and crafting detailed appeal letters
• Develop and implement proactive strategies to minimize claim denials
• Stay updated on the latest billing requirements, guidelines, and regulations
• Adapt billing practices to ensure compliance with industry standards
• Follow all client and team policies, procedures, and guidelines

Medical Billing Specialist

• Track and manage accounts receivable, ensuring aging amounts remain within targeted levels.
• Regularly check the status of submitted claims to ensure timely processing and payment.
• Resubmit claims for appeal as necessary, working to resolve any issues that may delay payment.
• Prepare and send out patient statements in a timely and accurate manner.
• Conduct patient collection phone calls, professionally addressing outstanding balances and negotiating payment arrangements.
• Respond to patient and payer's email and phone inquiries regarding their accounts, providing clear and helpful information.
• Accept phone payments from patients, ensuring accurate processing and record-keeping.
• Monitor Denial Trends and provide timely and accurate resolutions.
• Handle complex denials and appeals.
• Utilize different collection strategies to achieve optimum reimbursement on delinquent accounts.
• Follow team and/or clients proper procedures, policies, and methodologies as instructed.
• Performs other related duties as necessary or assigned.

Medical Billing Collections Specialist

• Supervise and lead a team of medical billing specialists, providing guidance, training, and support as needed
• Communicate and facilitate special projects, reports, and requests from client
• Assign tasks, set priorities, and monitor performance to ensure productivity and accuracy
• Develop and improve billing policies, procedures, and workflows to optimize efficiency
• Review and approve billing documents, ensuring compliance with coding guidelines and regulatory standards
• Manage accounts receivable, tracking outstanding balances and initiating collection efforts when necessary
• Analyze trends and make recommendations to the client
• Stay current with healthcare billing regulations, coding updates, and industry trends

Medical Billing Manager

• Manage the end-to-end medical billing and revenue cycle process for home healthcare services
• Process and submit medical claims accurately and efficiently
• Verify patient insurance eligibility and benefits
• Track, monitor, and follow up on submitted insurance claims
• Investigate and resolve claim denials, billing discrepancies, and reimbursement issues
• Coordinate with Massachusetts insurance carriers regarding claims processing and payments
• Maintain accurate billing records and documentation within CollaborateMD
• Ensure billing practices remain compliant with HIPAA standards and regulations
• Provide administrative support related to billing and reimbursement operations
• Support inbound and outbound communication with patients and insurance providers as operational needs expand

Medical Billing and Coding jobs in Philippines

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