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Medical Biller (Denials Management) - Hybrid

NeolytixRemote

<h2>Job description</h2><p><b>About Neolytix</b></p><p>Neolytix is a boutique Consulting and Management Services Organization that works with small &amp; medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices.</p><p><b>Working at Neolytix</b></p><p>At Neolytix, you will learn to hone your Consultative skills, develop drive &amp; leadership, balance work with family time and importantly have fun!</p><p></p><p><b>About this Position</b></p><p>Medical Billing Specialist is responsible for Posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner.</p><ul><li>Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid.</li><li>Verifying correct insurance filing information on behalf of the client and patient</li><li>Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems.</li><li>Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.</li><li>Follow up on unpaid claims within the standard billing cycle time frame.</li><li>Research and appeal denied claims.</li><li>Meet individual and departmental standards with regard to quality and productivity.</li><li>Ability to handle protected health information in a manner consistent with the Health Insurance Portability and Accountability (HIPAA).</li><li>Check eligibility and benefit verification.</li><li>Review patient bills for accuracy and completeness and obtain any missing information</li><li>Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.</li><li>Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.</li></ul><p>Responsibilities and Duties</p><p>Able to perform eligibility verification, precertification, through the web or verbally with insurance companies.<br>Calling insurance companies and obtaining claim status with different payers &amp; documenting it in the system.<br>Should be able to read superbills and make charge entry in PMS.<br>Ability to post ERA (Electronica Remittance Advice) &amp; EOB (Explanation of Benefits) from various systems and websites.<br>Credentialing knowledge would be an added advantage<br>Denial management should be known.</p><p>Job Type: Full-time</p><p>Salary: 25,000 Php - Php 40,000.00 per month</p><p>Benefits:</p><ul><li>Paid Training</li><li>WFH</li><li>Midshift Schedule</li><li>HMO</li><li>Government mandated Benefits,&#160;13 month pay,&#160;Paid Leaves,&#160;Holiday Pay</li><li>Work with diverse team members across countries &amp; cultures</li><li>Participate in Clubs based on your hobbies and share your passion with like minded enthusiasts</li></ul>

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