Mid-Level Medical Biller | MCVO Talent Outsourcing Services

Job Description:

Essential Duties and Responsibilities include the following. Other duties may be assigned.
● Accept and process all requests from payers for credentialing information/updates/new contracts and products.
● Conduct all follow up steps till payor approval/completion is obtained.
● Answer questions, process requests from staff/providers related to credentialing information.
● Checking eligibility and coordination of benefits verification for Ophthalmic procedures/services.
● Perform medical record management, including updating of records and prescriptions.
● Coordinate practice training for process improvements.
● Reviewing patient bills for accuracy and completeness and obtaining any missing information – Ophthalmic
services.
● Preparing, reviewing, and transmitting claims using billing software (EPM), including electronic and paper claim
processing.
● Submission of billing data to appropriate insurance providers.
● Achieve maximum reimbursement for services provided.
● Resolve denial instances.
● Perform posting charges.
● Maintain reports on various projects.
● Conduct audits of Practice Management System reports versus Revenue reports.

Key Qualifications:

● Ability to organize, set priorities, work independently and work well with a diverse group of people is essential.
● Ability to work effectively as a team member with a strong collaborative management style.
● Ability to think and act strategically and proactively.
● Proficiency in reading, writing, and communicating in English.
● Excellent computer skills including Microsoft Office Suite (Outlook, Word, Excel).
● Knowledge of medical terminology, revenue cycle processes including: health insurance verifications, billing,
collections, cash posting functions and coding is a plus.
● Solid understanding of billing software and EHR/EMR. "Eyefinity Practice Management" experience is a Plus.
● 3-5 years of experience in payment posting, denials/rejections and AR management. Experience with "Trizetto"
clearing house is preferred.
● Reliable, and willing to work “night shift” in the Philippines.
● Understands Credentialing workflow.

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Makati, 1235 Metro Manila

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One of the Leading Business Process Outsourcing Companies in the Philippines

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MCVO TALENT OUTSOURCING SERVICES

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