Responsibilities:

• Utilizes various hospital/physician systems to verify patient, billing and claim information for accuracy. 
• Performs compliant primary/secondary, tertiary and re-bill billing functions, including electronic, paper and portal submission to government and/or commercial payers. 
• Edits claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission. 
• Responds timely to emails and telephone messages, as appropriate. 
• Communicates issues to management, including payer, system or escalated account issues.
• Participates and attends meetings and training seminars, as requested.  
• Adheres to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards. 
• Enhances billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. 
• Updates patient demographics/insurance information in appropriate systems. 
• Monitors claims for missing information, authorization and control numbers (ICN//DCN). 
• Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems. 
• Secures needed medical documentation required or requested by third party insurance carriers. 
• Maintains and respects the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure. 

In addition: 

• Utilize provider billing manuals to obtain billing guidelines and requirements 
• Import verification and escalation of import/export files 
• Special Handling billing included not limited to interim bills, overlap review, redistribution of money for correct claim creation 
• Resolve and research billing Rejections 

Minimum Requirements & Competencies:  

• 2+ years of medical collections/billing experience 
• Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI 
• Intermediate knowledge of third party billing guidelines 
• Intermediate knowledge of billing claim forms(UB04/1500) 
• Intermediate knowledge of payor contracts 
• Working Knowledge of Microsoft Word and Excel 
• Intermediate working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.) 

Preferred Requirements & Competencies:  

• Working knowledge of one or more of the following Patient accounting systems -  EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon 
• Working knowledge of DDE Medicare claim system 
• Knowledge of government rules and regulations

Job Types: Full-time, Permanent
Pay: Php40,000.00 - Php45,000.00 per month
Benefits:

• Paid training

Schedule:

• 8 hour shift
• Evening shift
• Monday to Friday

Supplemental Pay:

• 13th month salary
• Overtime pay