Medical Billing Specialist

🔥 0 minutes ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sourcefit

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

📣 Marketing

📦 Logistics

🏥 Healthcare

Marketing • Logistics • Healthcare

Sourcefit is a leading business process outsourcing company with headquarters in the Philippines and offices in the Dominican Republic, Armenia, Madagascar, and South Africa. Founded in 2009, Sourcefit specializes in providing custom offshore and nearshore staffing solutions across various industries including IT, Finance, Healthcare, Retail, and more. They focus on offering efficient and cost-effective BPO services such as telesales, customer support, content moderation, IT support, web development, and more. Sourcefit is committed to building long-term value for organizations through customized, efficient, and integrated offshore staffing solutions.

📋 Description

• Manage collection processes for TDD services. • Analyze contracts and reimbursement. • Manage denials and appeals. • Resolve billing-related issues with insurance companies or other responsible parties. • Follow up on submitted invoices to ensure prompt and timely payment, escalating issues as necessary. • Evaluate payments and denials for correctness and apply them accordingly. • Identify bad debt write-offs and accounts receivable adjustments; initiate them according to established policies and procedures. • Detect, investigate, and resolve overpayments and duplicate payments. • Process refund requests according to policies and procedures. • Obtain patient or insurance information needed for claim payment through coordination with other departments. • Ensure collection operations comply with department protocol and federal, state, and payer regulations, guidelines, and requirements. • Call to troubleshoot payment discrepancies and establish resolutions. • Document phone calls, phone numbers, persons spoken to, and call details. • Maximize claim reimbursement. • Resolve denial-causing issues within 5 days of receiving denials. • Maintain patient confidentiality and adhere to HIPAA guidelines and regulations. • Apply knowledge of NDC numbers, metric quantities, infusion supplies, insurance plans, medical terminology, billing procedures, government regulations, and medical codes. • Share knowledge with staff members and work as a team member. • Perform other job-related duties as assigned.

🎯 Requirements

• A high school diploma or general education degree (GED) equivalent. • At least 3 years of medical billing and collections experience. • Home Infusion experience, hospital or chemotherapy experience is required. • Experience in calculating drug units. • Intrathecal Pain Management is a plus. • Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations. • Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders. • Strong work ethic with personal qualities of integrity and credibility. • Self-directed, detail-oriented, conscientious, organized, and able to follow through. • Ability to deal in an organized manner with problems involving multiple variables within the scope of the position. • Tolerance of frequent interruptions and distractions from staff and other internal support teams. • Proficiency in Microsoft Office, including Outlook, Word, and Excel. • Ability to work Monday to Friday, 9 PM to 6 AM Manila Time.

🏖️ Benefits

• Work from home • Monday to Friday schedule • US Holidays & PH Regular Holidays