Medical Biller - Taguig - HGS Offshore Staffing Solutions (HGS OSS)

    HGS Offshore Staffing Solutions (HGS OSS)
    HGS Offshore Staffing Solutions (HGS OSS) Taguig

    22 oras ang nakalipas

    Upper Management / Consulting
    Paglalarawan

    Immediate Hiring: Onsite Night Shift | BGC

    Day 1 HMO

    Responsible for hospital and/or physician billing collections and follow up. The duties include working with payers to resolve issues and facilitate prompt payment of claims. Basic knowledge and understanding of patient billing, claims submission, and payer specific requirements is a must. This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.

    RESPONSIBILITIES

    • Examining medical claims
    • Verification of health insurance benefits
    • Follow-up regarding claim status
    • Identifying and resolving outstanding issues preventing claim resolution
    • Correcting and resubmitting claims
    • Documenting actions taken
    • Maintaining expert customer service
    • Ensuring legal compliance

    SKILLS AND QUALIFICATION

    • Minimum 2 Years' experience in Revenue Cycle Management or 2 years of experience and Certification Billing/Coding.
    • Comprehensive knowledge of insurance plans, member eligibility, and medical billing
    • Understanding of CPT, ICD-10, UB, HCFA, and 837 terminologies
    • Excellent interpersonal and customer service skills
    • Detail oriented, strong problem solving, analyzing information and research skills
    • Excellent Computation and English communication skills
    • Experienced in Excel and with a financial software,
    • Documentation and data entry skills

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