I'm a certified medical biller in the Philippines. I work on claims and different denials and rejections, review remits and EOBs, post payments, work on authorization, and insurance verification.
Some responsibilities include:
- Reviewing denials on an explanation of benefits (EOB) statement and working on issues until resolved.
- Log onto an insurance website/portal (if available) to investigate insurance denials and rejections.
- Analyzing Accounts Receivable reports to follow up on unpaid claims
- Sending out appeals on claims that require an appeal
- Submitting any required documentation to insurance companies as requested
- Researching the claims for information to process bills in a timely manner
- Communicating with insurance companies, adjustors, and patients on a regular basis
- Correcting any errors and resubmitting all unprocessed or returned claims to insurance companies
- Investigating insurance denials and rejections
- Executing appropriate collection activities in accordance with practice guidelines
Experience:
- Medical billing experience is extensive
- Experienced with different EHRs/EMRs: Prompt, Tebra, Practice Fusion, Updox, ECW
- Experienced with different Payment Portals: Availity, Novitasphere
Education/Training
- Medical Billing Certified/ HIPAA-certified
Feel free to reach out and connect with me for any business opportunity.
