About the job Medical Biller
Position Title: Medical Biller
Work Set Up: On-site
Date: November 2024
Schedule: 9:00 PM - 6:00 AM PHT
Job Location: Clark Outsourcing - Building 35 Philexcel Business Park, Clark Pampanga
Quick Rundown:
Manage healthcare billing and collections by generating invoices, resolving discrepancies, and reconciling accounts receivable. Responsibilities include monitoring overdue payments, following up with patients and insurance companies, analyzing healthcare revenue, and preparing reconciliation reports. Ensure compliance with healthcare regulations and maintain accurate records of all collection activities.
What You'll Do:
Generate and send invoices to healthcare providers, insurance companies, or patients.
Verify discrepancies and resolve billing issues related to medical claims or patient accounts
Monitor accounts to identify overdue payments, focusing on healthcare-related receivables
Follow up with customers, patients, or insurance companies via phone, email, and mail for payment collections
Implement processes to reduce outstanding medical receivables and streamline collections
Reconcile accounts receivable ledgers to ensure accurate posting of insurance reimbursements and patient payments
Reconcile deduction accounts and ensure accurate recording of adjustments, including insurance denials or patient balances
Prepare and analyze monthly reconciliation reports and financial statements, with a focus on healthcare revenue
Analyze and validate sales deductions such as trade promotions, patient claims, and insurance chargebacks
Identify and resolve discrepancies promptly, including discrepancies in medical billing or insurance claims
Conduct insurance verification for patients to confirm coverage and pre-authorization requirements
Communicate with patients or insurance companies to gather documentation and resolve payment issues
Maintain accurate records of collection activities and interactions with insurance providers
Prepare and present aging reports specific to healthcare receivables to management.
Ensure compliance with healthcare accounting principles, company policies, and HIPAA regulations
What Were Looking For:
Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field
2 - 3 years of experience in accounts receivable or medical billing within a medium or large-size healthcare organization
Strong knowledge of insurance verification processes, including US-based private insurance and government programs (e.g., Medicare, Medicaid)
Familiarity with medical terminologies and billing codes (e.g., CPT, ICD-10)
Advanced computer skills in MS Office, healthcare accounting software, and databases
Ability to manipulate large amounts of data, particularly in medical billing and claims management
Excellent proactive communication and problem-solving skills
Preferably worked in a US-based healthcare company or handled US healthcare accounts
Why You'll Love Joining the CO Fam!
At Clark Outsourcing, we're redefining what it means to work in a BPO. This isn't your regular office setup -- it's where careers flourish, friendships grow, and fun is always part of the deal. Our culture is unmatched (seriously, our team swears by it), and we promise you'll have to experience it yourself to believe it.
Here's what's in store for you:
Health and Welfare Benefits: HMO with prescription coverage, SSS, PhilHealth, Pag-IBIG, 13th-month pay, retirement benefits, and more.
Beyond Work: Enjoy our in-office swimming pool (lowkey flex!), CO Club gaming lounge, swimming pool, CSR involvement through CO Stars, scholarship programs, and access to CO Academy for growth.
Travel Opportunities: We send at least 20 staff per year to visit our clients in the US, UK, and Australia, giving you international exposure and experience.
Leave Benefits: Paid holidays, Earned PTO on your first month, Wellness leave (no questions asked), plus special leaves like bereavement, parental leave, and Magna Carta leave.
Extra Perks: Salary loans up to PHP 1M (via BPI), CO Swag Bag, birthday and anniversary tokens, and our COol & flexible workplace.
Growth and Recognition: Yearly performance appraisals, career advancement programs, CO League events, and guidance from our amazing Coaches!
At CO, it's not just about work it's about loving where you work. Ready to experience the best workplace ever? We can't wait to welcome you to the team!