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Medical Billing Specialist (ENG)

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The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end billing tasks to optimize revenue for healthcare practices.

Key Responsibilities:

End-to-End Revenue Cycle Management (RCM): Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed.
Accounts Receivable (A/R) Collections: Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue.
Claims Denial Investigation and Resolution: Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments.
Claims Resubmission and Correction: Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement.
Documentation and Compliance: Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA.

Proven experience in medical billing with exposure to RCM and A/R processes.
Experience with claim denial management and collections processes.
Proficiency in English communication, both written and verbal.
Proficient in virtual office tools, EHR systems, and communication platforms.
Strong customer service and critical thinking skills.
Understanding of HIPAA regulations and the importance of patient data confidentiality.
Strong problem-solving skills and ability to work with minimal supervision.
Willingness to work in US time zones (PST, EST, CST).
High school diploma or equivalent.

System and Work Setup Requirements:

A stable and high-speed internet connection preferably 25 MBPS or higher with backup in cases of power interruption or service provider issues.
Own PC/laptop with 8GB RAM, and a processor of Core i5 / AMD Ryzen 3 / 2013 Mac equivalent or higher; Windows 10 or above / Catalina 10.15 or newer; with up-to-date web browsers, and security software, 500GB/128 SSD storage
Headset/earphone with noise cancellation and webcam at 720p or higher resolution
A designated, quiet, and well-organized workspace free from distractions to facilitate focused work

Permanent remote work setup
Competitive starting rate paid in USD
Internet Allowance
HMO insurance (PH)
Retirement Fund
Paid US holidays
Paid Vacation and Sick Leaves

What You Should Know About Medical Billing Specialist (ENG), Berry Virtual

Are you ready to make an impact in the healthcare sector? Join our team as a Medical Billing Specialist! In this pivotal role, you'll manage the entire billing cycle, ensuring that healthcare practices optimize their revenue through effective Revenue Cycle Management (RCM) and Accounts Receivable (A/R). Your day-to-day tasks will include overseeing claims submissions, investigating denied claims, and performing precise billing tasks from start to finish. We’re looking for someone who has proven experience in medical billing, familiar with RCM processes, and who possesses strong critical thinking skills to solve issues as they arise. You'll thrive in our remote setup, which requires a stable and high-speed internet connection alongside efficient virtual office tools. Excellent English communication skills are essential, as you’ll be tracking unpaid bills, conducting follow-ups, and resolving any collection issues to secure maximum revenue. Familiarity with HIPAA regulations and patient data confidentiality is a must, and if you have a knack for problem-solving and can work independently, you’ll find this position fulfilling. Additionally, enjoy competitive pay, internet allowances, HMO insurance, and generous paid time off. If you are ready to contribute to a vital aspect of healthcare, this opportunity with us as a Medical Billing Specialist is for you!

Frequently Asked Questions (FAQs) for Medical Billing Specialist (ENG) Role at Berry Virtual

What are the primary responsibilities of a Medical Billing Specialist at our company?

As a Medical Billing Specialist, your key responsibilities will include managing the end-to-end Revenue Cycle Management (RCM) and overseeing Accounts Receivable (A/R). You'll be expected to handle claims submissions, resolve denials, manage unpaid bills, and ensure compliance with relevant regulations. Your work will directly support healthcare practices in maximizing their revenue stream effectively.