The Insurance Billing Specialist is responsible for handling insurance receivables and ensuring that claims are processed accurately and timely. This person would also be at the forefront of addressing claims-related issues and concerns.

The ideal candidate is someone who values learning new skills, working in a team, values recognition, and wants to be a part of the company’s growth.

SCHEDULE: 8 AM - 5 PM Mountain Standard Time, follows Philippine Holidays

POSITION TYPE: Full Time

WORK ARRANGEMENT: Remote

ESSENTIAL FUNCTIONS

·       Manage assigned insurance receivables to achieve company-set expectations and KPIs

·       Submit timely and accurate electronic and/or paper claims

·       Research, troubleshoot, and rebill claim denials and rejections in a timely manner

·       Communicate with insurance companies as needed to resolve claim issues

·       Verify eligibility and benefits with various carriers

·       Audit current claims for errors. Send corrected claims to providers for reprocessing

·       Assist in special projects and perform other related duties as needed and assigned

·       Train facilities on accurate and proper tracking of patient attendance

·       Set up and maintain clients in Claims Management Software

QUALIFICATIONS

·       High School Diploma

·       At least 3 years of billing and coding experience

·       Demonstrated pattern of growth or promotion in career history

·       Prior experience working in the healthcare setting, with healthcare insurance

·       Must be proficient in Excel and Google Docs and can create and use Pivot Tables and V-Lookup Functions

·       Requires excellent communication, problem-solving, conflict resolution and organizational skills

·       Must be able to adapt to changing demands of the position, customer needs, and the organization

·       Experience in a multi-client environment

·       Strong organization, oral and written communication skills

·       Analytical skills with particular attention to detail

·       Aptitude in data management, analytics, reporting preparation

·       Ability to function in an autonomous environment—independent worker, self-directed