Main Responsibilities

• Process billing, collections, reporting payment reports to clients

• Provide assistance to supported insurance companies and take in calls when necessary

• Perform other tasks as provided by team leader and client Minimum Qualifications

• Previous experience of at least 1 year in Medical Billing (US Healthcare Account)

• Handling other processes of US Healthcare Accounts may be considered

• Has excellent communication skills

• Willing to start ASAP on a night-shift schedule

• Can commit to work on site

Requirements

• Experience with coding, claim follow-up, contacting patients and contacting insurance
companies are necessary.

• Strong computer and web skills are required.

• Experience and comfort using web-tools.

• Higher degrees and certifications are a plus such as certified billing and coder and/or
associates or bachelor's degree.

• 2 years of billing experience

• Medical Coding and Billing certification¨- Preferable

• Background in management, billing, medical billing & coding, cloud computing, telephone skills
and phone support
Qualifications

Bachelor’s Degree (healthcare related course is preferred but not a requirement)

Experience in medical billing/collection in US Healthcare industry is required; however, we may

consider individual with strong English communication skills (written and oral) and the ability to
adapt and learn medical terminology within a specific time frame Must have strong call handling,
writing and reading skills

Knowledge of CPT, HCPCS, ICD 9 and 10 (including basic understanding of Medical

Terminology) is an advantage Minimum typing speed of 45 wpm

Proficiency in a range of computer software applications (such as MS Word and Excel)

Good analytical skills

Excellent organization and time management skills

Able to work independently with minimal supervision and can handle a number of projects
simultaneously

Flexibility to work additional hours as necessary

Willing to work on US Pacific Time

Job Responsibilities

The main responsibility is to collect unpaid claims from private insurances, Medicaid, Medicare,
IPAs and patients. This can be obtained thru: Analyze the responses (EOBs, COBs) from payers

Assess the unpaid claims to make adjustments as necessary as well as make appropriate notes
of actions and changes

Review the payer’s contracts to clarify claim payment qualification

Call insurances to check claim status or follow up on unpaid claims

Find out the reason the claims were not reimbursed

Research for possible solutions to fix claims in order to be paid

Retrieve all the necessary documents to support the payment requirements

Prepare necessary forms to appeal or dispute the denial of claims

Resubmit corrected claims through the method of electronic or paper submission Advise clients
of appropriate codes to be used to ensure reimbursement