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Medical Billing Representative

Iloilo City - Visayas
Fair Trade Outsourcing

Published on www.breezyhr.com 13 Mar 2025

The Medical Billing Representative posts payments received from insurance companies, cash payments, and payment plans to the patient's accounts; enters adjustments, write-offs, and reconciles the patient' s accounts. The Medical Billing Representative reviews claims for non- payment, posts the zero payment to the patient's account and writes off the unpaid procedures and claims; resubmits claims with corrected codes, submits secondary claims, and mails statements for co-pays and balances due on the account. The Billing Specialist works reports; processes refunds and check requests; does account clean up, and serves as a resource to the medical practices to help improve billing processes and accuracy. Calls resident physicians for confirmation. 

  • SPECIFIC DUTIES AND RESPONSIBILITIES 

The following are the specific duties and responsibilities of the Medical Billing Representative. 

  • Upload insurance card images and patient information into EHR, AMD   
  • Escalate missing card information to Mindful Support Services team for follow-up and acquisition   
  • Process and audit patient intake documents and enter data into EHR, AMD   
  • Ensure all patients have submitted required documentation prior to their scheduled appointment.   
  • Review spreadsheet log of patients with due payment for Telehealth services.   
  • Examine visits to be charged.   
  • Look up chart number and cross-reference.   
  • Process payment and update status of record.   
  • Confirm patient and any dependent's information.   
  • Verify insurance carrier, policy and group number, and employer.   
  • Tax ID and office address, where applicable.   
  • Enter information into EHR and escalate missing information. 

REQUIREMENTS

    • Bachelor's degree in business, health care administration, accounting or relevant field is recommended.   
    • A minimum of 1 year experience as a medical biller or similar role.   
    • Must have the ability to multitask and manage time effectively.   
    • Excellent written and verbal communication skills.   
    • Outstanding problem-solving and organizational abilities.   
    • Senior Level English Proficiency 
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