Medical Biller (Onsite)

Cebu, Cebu
Posted 2 days ago
Company:
Virtual Ventures
Company Description:
We are a US-based company looking to hire Registered Nurses based in the Philippines. #PinoyNursesOnly Work directly with our clients to help them with their medical office needs, virtually.
Contract Type:
Full Time
Experience Required:
3 to 4 years
Education Level:
Senior High School
Gender:
Any
Number of vacancies:
1

Job Description

We are seeking an experienced and detail-oriented Medical Billing Specialist to join our team onsite in Cebu. The ideal candidate will have a strong background in the end-to-end medical billing process and hands-on experience with Tebra, Advanced MD,. This position plays a critical role in ensuring accurate billing, timely reimbursement, and smooth workflow management.

Key Responsibilities:

- Manage the full medical billing cycle from patient registration to payment posting and account reconciliation.
- Handle insurance claims submissions, resubmissions, and appeals.
- Verify patient insurance coverage, eligibility, and benefits.
- Follow up on outstanding claims and address denials or rejections.
- Post payments accurately, reconcile accounts, and manage patient billing inquiries.
- Maintain and update patient billing records using EMR Software Tools.
- Ensure compliance with HIPAA regulations and other relevant healthcare billing standards.
- Collaborate with therapists, office staff, and insurance companies to resolve any billing issues.

Requirements:

- Minimum of 2-3 years of experience in end to end US Medical biling.
- Proficiency in AdvanceMD, Tebra or similar medical billing software.
- Thorough understanding of the end-to-end medical billing process, including claims submission, payment posting, and account management.

Strong knowledge of insurance guidelines.

- Excellent communication, problem-solving, and organizational skills.
- Ability to work independently and manage multiple tasks in a fast-paced environment.
- Must have a BPO experience.
- Strong in accounts receivable and know how to read EOB's
- Good knowledge of Medicare, Medicaid
- Preferred experience in accessing payor portals, entering demographics and entering charges.

Job Type: Full-time