Medical Billing Specialist Team Lead Home-based

Job Description

About Us:

Outsourced is a leading Philippines outsourcing company providing dedicated remote staff and offshore staffing services. We specialise in providing staff of the highest quality who will continue to exceed your expectations and provide benchmark offshore solutions to your business. With Outsourced you can scale your organisation quickly, easily and cost effectively with dedicated remote staff based in our modern offices in Manila.

Job Overview

The Lead is responsible for both managing team performance and performing billing functions. This role ensures daily charges are entered accurately, payments are posted promptly, and accounts receivable and denials are worked efficiently.

General Duties And Responsibilities

• Daily review of teams performance
• Daily guidance of team based on performance review
• Management of team issues and overall performance
• Preparing, reviewing, and transmitting clinical charges, including updating procedure and diagnosis codes in computer files, coordinating reports, maintaining fee schedules, and the posting of payments.
• Balancing a daily input and accounts receivable system
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Contacting insurance companies regarding any discrepancy in payments if necessary.
• Researching and appealing denied claims.
• Answering patient and insurance telephone inquiries pertaining to assigned accounts.
• Collecting delinquent accounts by establishing payment arrangements with patients and following up with patients when payment lapses occur.
• Remaining alert to special billing rules and communicating those to appropriate individuals
• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Maintaining and updating contract and credentialing information with insurance payers on behalf of providers and clinics.
  
  

Qualifications:

• Three to five years experience in medical practice billing
• 2 plus years of experience in a Team Lead role
• Proficiency in MS Office
• EHR experience required.
• o eCW, athenahealth or NexGen preferred.
• Familiarity and certification in CPT and ICD-10 coding.
• Competent use of computer systems, software, and 10 key calculators
• Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
• Skills in organizing and reporting data that is accurate, complete, and accessible to other employees.
• Portrays a calm manner and patience working with either patients, providers or insurers during the billing process.
• Excellent customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
• Displays professionalism.
• Demonstrates the ability to handle a fast-paced environment by portraying strong multi-tasking skills.
• Demonstrates the ability to prioritize tasks/responsibilities and complete duties within the allotted time.
• Willing to seek out new methods and principles and willing to incorporate them into existing practices.
• Strong attention to detail and organizational skills
• Provides consistency and timeliness in attendance.
• Willingness to be cross trained in different tasks.
  
  

Work Schedule: Tuesday - Saturday, 12:00 AM - 9:00 AM Manila Time

Work Setup: Home-based

• Should have strong internet connection (minimum of 50 mbps)
• Should have own Laptop/PC
  
  

Note: As part of our recruitment process, we conduct a background check on all hired candidates. Please ensure that all required documents are prepared and submitted promptly.

By clicking on the "Im Interested" button I hereby allow Outsourced Quality Assured Services, Inc. ("Outsourced") to store and collect my personal information for the purposes of employment application. As such, I agree and authorize Outsourced to collect, store, or continue to use my personal information for the above-stated purpose, and to retain my personal information for a period of 1 year, and for these purposes only.

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