Medical Billing Representative (Davao)

JOB TITLE: Medical Billing Representative (DAVAO SITE)

SUMMARY:

The Medical Billing Representative posts payments received from insurance companies, cash payments, and payment plans to the patient's accounts; enters adjustments, write-offs, and reconciles the patient's accounts.

The Medical Billing Representative reviews claims for non- payment, posts the zero payment to the patient’s account and writes off the unpaid procedures and claims; resubmits claims with corrected codes, submits secondary claims, and mails statements for co-pays and balances due on the account. The Billing Specialist works reports; processes refunds and check requests; does account clean up, and serves as a resource to the medical practices to help improve billing processes and accuracy. Calls resident physicians for /confirm/iation.

RESPonSIBILITIES AND DUTIES:

• Post cash payments, primary & secondary insurance payments, and Payment Plans

• Appeal denied services to insurance agencies

• Write-off unpaid claims

• Mail Secondary Claims

• Mail Statements for Co-pays and Patient Balances

• Clean-up accounts

• Process Insurance Refund Requests for an overpayment

• Process Check Refund Requests from Patients work weekly reports

• Assists medical offices with any patient/insurance payment questions

• Achieve departmental goals for accurately submitting both paper and electronic

• Insurance claims for the previous day’s treatment

• Verify all demographic (spelling of names, date of birth, and the insurance carrier) information is correct

• Correct insurance and demographic information if incorrect and resubmit a corrected claim

within 95 days from DOS

• Adheres to company, department, corporate, personnel and standard policies and Procedures

• Attend all mandatory company in-services and staff development activities as scheduled

• Adhere to company standards concerning conduct, dress, attendance, and Punctuality

• Support company-wide quality/performance improvement goals and objectives

• Maintain confidentiality of company employees and patient information

• Perform other duties as assigned

• Provide support as an Administrative Assistant

• Communicating with clients via phone and email

• Entering Data into the client system

• Submission of claims, EOBs, and other pertinent billing documents

• Resolve client and billing issues with client team

• Accessing data points in client tools

• Modifying, emailing and faxing documents

REQUIREMENTS:

• Bachelor’s degree in business, health care administration, accounting or relevant field is

recommended.

• A minimum of 1 year experience as a medical biller or similar role.

• Must have the ability to multitask and manage time effectively.

• Excellent written and verbal communication skills.

• Outstanding problem-solving and organizational abilities.

• Senior Level EP

Application process:

●  Resume review 

● Interview with Recruitment Officer 

● Interview with Hiring Manager 

● Offer

Benefits and Perks:

● Vacation Leaves, Sick Leaves, Emergency Leaves, Quarantine 

● Leaves, Bereavement leaves

● Health Insurance 

● Catastrophe Assistance 

● Win A Fridge 

●  Government-Mandated Benefits 

●  English Rating Up leveling

How to apply:

Please click the link to apply: ***************

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Fair Trade Outsourcing™ is a fast-growing BPO company and fair trade outsourcing center in the Philippines that provides impact sourcing work for all kinds of businesses. Our main office is in Philadelphia, Pennsylvania while our service delivery center is in Iloilo City, Philippines. Mission We are a Fair Trade Outsourcing Center Company that delivers superior results for clients by valuing our agents, ensuring their safety, and improving their economic welfare. Vision We seek to reduce global poverty and economic insecurity by creating sustainable middle-class employment, eventually growing a new generation of capital owners from wage earners.