Medical Billing & Claims Processor

Remote

Full Time

Billing

Mid Level

Medical Biller & Claims Processor
RML-PH - Quezon City (Remote)

Please note: Submitting multiple applications for the same position may delay your review of your candidacy. We encourage you to apply once and ensure all information is complete and accurate.

About Us

RML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape. With a mission to provide accessible, high-quality healthcare services and cutting-edge solutions, RML-PH focuses on holistic patient care and embraces the latest advancements in health technology. Our team is dedicated to providing top-tier customer care, leveraging expertise and technology to exceed expectations. Join us at RML-PH to be part of a dynamic team committed to delivering excellence in healthcare customer service.

Position

We are seeking a highly motivated and detail-oriented individual to join our team as a Medical Billing & Claims Processor. In this role, you will play a critical part in ensuring accurate and timely billing, as well as claims processing and follow-up. You will work closely with insurance companies, doctors/facilities, and internal departments to manage the entire billing and claims lifecycle, from initial submission to follow-up and resolution.

Responsibilities:

Compile necessary information, including patient demographics, insurance information, provider details, and procedural. codes
Analyze, prepare, and submit medical claims to insurance payers through our electronic billing system
Assign and enter appropriate CPT and ICD-10 codes on claims
Investigate and resolve payment discrepancies, coordinating with other departments when necessary
Maintain accurate records of billing and claim activities, ensuring compliance with payer guidelines and company policies
Stay up-to-date on billing regulations and implement process improvements
Participate in internal meetings and training sessions to stay informed of industry updates
Additional responsibilities as required to meet business needs.

For AR:
Effectively manage patient calls or inquiries related to insurance claims and balances
Monitor the status of submitted claims to resolve rejections or delays and resubmit as needed
Follow up on unpaid insurance claims by checking insurance portals or contacting insurance customer service

Qualifications:

High school diploma or equivalent; additional certification or education in healthcare or a related field is preferred.
Certification or experience as a medical coder is preferred.
2+ years of experience in medical billing, claims processing, or a related field.
Proficient in medical coding systems and terminology (CPT, ICD-10, HCPCS).
Working knowledge of AdvancedMD software is preferred.
Strong knowledge of insurance billing procedures and payer guidelines (Medicare, Medicaid, private insurance).
Experience using electronic medical records (EMR) and billing software
Strong attention to detail, with excellent analytical and problem-solving skills
Ability to multitask and prioritize in a fast-paced environment.
Effective communication skills in English, both written and verbal.
Ability to work independently and collaborate with team members to resolve issues.
Familiarity with HIPAA regulations and compliance requirements.

How to Apply:
Interested candidates are encouraged to submit their resumes and a cover letter outlining their qualifications and how they would contribute to RML-PH's success via LinkedIn.

Additional Details:

Ideal start date: December 2024
Schedule: Monday to Friday, 10:00 PM to 7:00 AM
Work Location: Remote (Quezon City, PH)
Job Type: Full-time
Salary: Php 35,000 to 45,000 per month

Benefits:

Equipment provided
Contributions to PhilHealth, SSS, and Pag-IBIG
Paid leave: Sick, Paternity, Annual, and Public holidays
Monetary compensation: 13th-month pay and overtime
New hires begin as contractors for the first two months before being reviewed for direct employment

Requirements:

All employees must undergo a background check, and continued employment is dependent on its outcome.
English proficiency is required.

At RML-PH, we care for our team members and their well-being. We are an equal-opportunity employer and value diversity, striving to create an inclusive workplace for all. We encourage candidates of all backgrounds and experiences to apply.

Disclaimer:
All positions at RMLPH require a background check during the onboarding process. Continued employment is dependent on the outcome of the background check.

RML-PH does not partner with staffing agencies. Resumes submitted unsolicited by agencies will not be considered, and RML-PH assumes no responsibility for fees incurred.

Please view this job listing on LinkedIn for an up-to-date status. Other job sites may repost our listings but do not always remove them once filled.

https://www.linkedin.com/company/rmlph
https://rmlph.applytojob.com/apply/

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