Medical Billing and Payment Specialist
Job Description
A Billing and Payment Specialist is responsible for managing the financial aspects of treatment. Your main role is to ensure that all necessary billing information is accurately entered into the system and that insurance claims are properly filed.
This role requires strong attention to detail, familiarity with healthcare billing procedures, and the ability to coordinate with both patients and insurance providers.
Key Responsibilities
- Accurately submit insurance claims using diagnostic and procedural codes such as ICD-10 and CPT/HCPCS.
- Identify and bill secondary and tertiary insurance where applicable.
- Follow up on rejected or denied claims and resubmit corrected claims in a timely manner.
- Post payments received from patients, insurance companies, and third-party payers.
- Reconcile posted payments with expected amounts and resolve discrepancies.
- Maintain accurate financial records and generate reports for management.
- Communicate with patients regarding billing statements, insurance coverage, and payment options.
Skills and Qualifications
- 3+ years of experience in billing, payment posting, and claims collection.
- Experience in healthcare billing or revenue cycle management.
- Familiarity with healthcare billing systems such as KIPU or CollaborateMD.
- Strong organizational and multitasking abilities.
- Excellent written and verbal English communication skills.
- Ability to analyze and resolve discrepancies in financial records.
Requirements
- Strong attention to detail and accuracy in financial documentation.
- Ability to manage multiple claims and billing tasks simultaneously.
- Understanding of HIPAA regulations and healthcare privacy standards.
- Amenable to work on-site in Quezon City.