Senior Claims and Billing Specialist | Night Shift | Eastwood Site

xpatjobs       |    Location:Quezon City , Metro Manila       |    Country:Philippines

Job Responsibilities: . Process and submit insurance claims in accordance with insurer requirements and federal regulations. . Handle billing and invoicing for therapists utilizing our EMR platform, ensuring accuracy and compliance with healthcare regulations. . Conduct regular follow-ups on unpaid claims with insurers and other third parties, and manage denials by initiating appeals. . Collaborate with therapists to obtain any necessary documentation for claim submission and resolution. . Maintain up-to-date knowledge of billing regulations, payer policies, and compliance guidelines. . Assist in the integration and onboarding of therapists onto the Billing Module, providing support and training as needed. . Utilize the EMR platform to input patient data, verify insurance eligibility, and manage patient billing inquiries. . Work closely with the development team to provide feedback and suggestions for billing module enhancements based on user experience. Qualifications: . Bacheloru0027s degree in any field. . At least 3-5 years of experience in claims processing and medical billing. Preferably within behavioral health or similar healthcare sectors. . Familiarity with healthcare claims and billing softwares, with a preference for candidates with experience in EMR platforms. . Strong understanding of healthcare insurance processes, coding, and compliance requirements. . Excellent organizational, communication, and customer service skills. . Ability to work independently and as part of a team in a fast-paced environment. . Detail-oriented with a high degree of accuracy. . Strong analytical and problem-solving skills. . Patient and empathetic, with the ability to handle sensitive information confidentially. . Proactive and motivated, with a continuous improvement mindset. . Amenable to work on Night Shift. . Amenable to work in Eastwood, Quezon City.