Medical Biller US Healthcare (AdvancedMD) - Work From Home Midshift

Summary

Neolytix is seeking a Medical Billing Specialist for a full-time, work-from-home position with a midshift schedule. The role involves posting medical charges, payments, and journal entries to patient accounts accurately and promptly. Responsibilities include working with insurance companies, healthcare providers, and patients to process claims, verifying insurance information, preparing and transmitting claims electronically and on paper, following up on unpaid claims, and researching and appealing denied claims. The specialist will also handle eligibility and benefit verification, review patient bills for accuracy, and manage protected health information in compliance with HIPAA. Experience with insurance guidelines (HMO/PPO, Medicare, state Medicaid) is required. Additional duties include performing eligibility verification, precertification, calling insurance companies for claim status, reading superbills for charge entry, posting ERA and EOB, and knowledge of credentialing and denial management is advantageous. Must Have

• Posting medical charges, payments, and journal entries
• Work with insurance companies, healthcare providers, and patients
• Verify insurance filing information
• Prepare, review, and transmit claims
• Follow up on unpaid claims
• Research and appeal denied claims
• Check eligibility and benefit verification
• Knowledge of insurance guidelines
• Handle protected health information (HIPAA)

Good To Have

• Credentialing knowledge
• Denial management experience

Perks

• Paid Training
• Work From Home
• Midshift Schedule
• HMO
• Government mandated Benefits
• 13 month pay
• Paid Leaves
• Holiday Pay
• Work with diverse team members
• Participate in Clubs

Job description About Neolytix Neolytix is a boutique Consulting and Management Services Organization that works with small & 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. Working at Neolytix At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun! About this Position Medical Billing Specialist is responsible for Posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner.

• Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid.
• Verifying correct insurance filing information on behalf of the client and patient
• Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Follow up on unpaid claims within the standard billing cycle time frame.
• Research and appeal denied claims.
• Meet individual and departmental standards with regard to quality and productivity.
• Ability to handle protected health information in a manner consistent with the Health Insurance Portability and Accountability (HIPAA).
• Check eligibility and benefit verification.
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.

Responsibilities and Duties Able to perform eligibility verification, precertification, through the web or verbally with insurance companies. Calling insurance companies and obtaining claim status with different payers & documenting it in the system. Should be able to read superbills and make charge entry in PMS. Ability to post ERA (Electronica Remittance Advice) & EOB (Explanation of Benefits) from various systems and websites. Credentialing knowledge would be an added advantage Denial management should be known. Job Type: Full-time Salary: 25,000 Php - Php 40,000.00 per month Benefits:

• Paid Training
• WFH
• Midshift Schedule
• HMO
• Government mandated Benefits, 13 month pay, Paid Leaves, Holiday Pay
• Work with diverse team members across countries & cultures
• Participate in Clubs based on your hobbies and share your passion with like minded enthusiasts

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