Medical Biller
Iloilo, Iloilo
Posted yesterday
- Company:
- TMDPH INC
- Company Description:
- Total Primary Care (TPC), the USA-based parent company and trade name of TMDPH Inc., was founded in 2014 in Austin, Texas by brothers Robert and Andrew Sek, driven by their vision to use a technology platform to grow and scale a healthcare group that provides exceptional primary care services to patients. TPC’s early years were marked by experimentation and learning, initially offering a wide spectrum of ancillary services before refining its focus on primary care. Since its inception, TPC has experienced substantial growth, expanding its operations into new markets, including launching the Dallas-Fort Worth area in 2018, San Antonio in 2021, Houston in 2022 and launching its first specialty division Total Behavioral Health in 2022. The PH subsidiary, TMDPH, Inc. was launched in 2021 to support TPC’s US operations and growth plans. At the core of Total Primary Care's success is its unwavering commitment to high-quality primary care, exemplified by significant investments in condition management programs. These programs have evolved over time to ensure that patients receive the best care and support. The company's dedication to offering top-tier primary care has become synonymous with the Total Primary Care brand. Total Primary Care's culture is guided by core values (T.E.A.R) Teamwork, Excellence, Accountability, and Respect. It places a strong emphasis on technology and patient-centered care, setting it apart in the healthcare industry. As the company marks over a decade of dedicated service, its vision for the future is clear - to continue delivering the best possible healthcare to its patients, with a particular focus on expanding its value-based care initiatives. As Total Primary Care continuously grows, its relentless commitment to healthcare excellence remains at the heart of its journey. The company's future is poised for further growth and innovation, built upon a foundation of high-quality primary care and an unwavering commitment to its patients' well-being. Our Vision We will improve the overall health of society by focusing on the underserved male patient population and the Medicare (aged 65+) population. Our Mission We will be the dominant primary care provider in Texas (to start) by offering a full suite of primary care and complementary specialties (e.g. behavioral health) and ancillary services to create a ‘one-stop shop’ for men’s and Medicare member’s health care needs. Our Values Teamwork: We collaborate to solve problems to lead to better results. Excellence: We balance striving for perfection & making progress, always seeking better ways. Accountability: We take ownership from start to finish! Respect: We respect and encourage our employees & patients with high integrity, always. Our Clinical Brands Total Care Primary Care (Senior and Family Focus) Total Men’s Primary Care (Men’s Focus) Total Behavioral Health (Behavioral Health Focus) Our Team-PH Office Support TPC is powered by a team from the Philippines, each contributing their expertise to ensure TPC can provide seamless healthcare services to patients. The team includes Medical Scribes, Insurance Verification Specialists, Medical Coders, Kustomers, Billers, Referrals, Medical Records personnel, Order Fulfillment Specialists, and Behavioral Health Coordinators, all working together to provide comprehensive and high-quality support and solutions. The PH team is an amazing group of dynamic and agile team members located in the very heart of Iloilo City. Started with a handful of hardworking and dedicated freelance team members working from home way back in 2018; the team, who were graduates of Allied Medical courses, initially supported Medical Coding, Insurance Verifications and Referrals. From then on, more and more departments were created to support the growth of TPC and the US operations. With its office nestled within the center of Mandurriao, Iloilo City, one of the 4 main districts of the city; it is strategically located for all its team members as well as potential new hires given its proximity to top universities and colleges. With TPC positioned to continue its growth and expand its current services in the US, the Iloilo office is poised to grow further, always willing to be there to support back-office works of the clinics.
- Contract Type:
- Full Time
- Experience Required:
- 1 year
- Education Level:
- Bachelor’s Degree
- Number of vacancies:
- 1
Job Description
Key Responsibilities:
Review and verify accuracy of patient information, diagnoses, and medical procedures for proper coding and billing.
Prepare and submit medical claims to insurance companies and other third-party payers accurately and within established timelines.
Follow up on outstanding claims, denials, and discrepancies to ensure timely and complete reimbursement.
Process and track payments received from insurance companies, patients, and other sources.
Investigate and resolve billing discrepancies or errors, working collaboratively with internal and external stakeholders.
Maintain up-to-date knowledge of medical billing regulations, coding guidelines, and insurance requirements.
Communicate with patients, insurance companies, and other relevant parties to address billing inquiries, provide explanations of benefits, and ensure accurate billing information.
Maintain patient confidentiality and adhere to ethical standards when handling sensitive financial and medical information.
Assist with generating financial reports and analyzing billing data for insights into revenue cycles and trends.
Collaborate with the healthcare providers, and administrative staff to ensure effective billing operations.
Ensure compliance with privacy laws, and data security guidelines, including Health Insurance Portability and Accountability Act (HIPAA) standards.
Qualifications:
Bachelor’s Degree in any field.
An associate's degree or certification in Medical Billing and Coding is an advantage but not required.
Proficient understanding of medical billing procedures, insurance claims, and coding systems (CPT, ICD-10, HCPCS).
Familiarity with billing software and electronic health record (EHR) systems.
Strong attention to detail and analytical skills to review and process billing information accurately.
Excellent written and verbal communication skills for effective interaction with patients and insurance representatives.
Ability to work independently, manage priorities, and meet billing deadlines.
Experience:
Minimum of 1 year(s) of experience in medical billing, preferably in a healthcare facility or billing service.
Experience in a BPO setting handling medical billing or insurance is an advantage.
Experience with different medical specialties and insurance types (Medicare, Medicaid, and private insurers) is advantageous.
Personal Attributes:
Ethical conduct in handling financial and patient information.
Problem-solving skills to address billing discrepancies and resolve issues.
Strong organizational skills to maintain billing records and documentation.
If you are a dedicated Medical Biller with a track record of accuracy and efficiency in medical billing processes, we encourage you to apply by submitting your resume along with a cover letter outlining your relevant experience and interest in the position.
- Salary:
- 20.000,00 ₱ Monthly