Medical Biller

Summary

Join Neolytix as an Athena Medical Biller and contribute to our revenue cycle management team. This work-from-home, mid-shift position requires proven experience with Athena billing software and US healthcare insurance guidelines. You will accurately post charges, manage claims, verify insurance eligibility, and ensure HIPAA compliance. The ideal candidate possesses strong attention to detail, excellent communication skills, and a commitment to maximizing reimbursements. Neolytix offers competitive salary, performance bonuses, paid training, HMO benefits, and government-mandated benefits. Advance your career in a supportive and diverse remote work environment.

Requirements

• Proven experience as a Medical Biller, specifically with extensive hands-on experience using the Athena billing software/EMR
• Solid understanding of US Healthcare insurance guidelines and medical billing best practices
• Demonstrated ability to perform eligibility and benefit verification
• Proficiency in obtaining claim statuses and navigating payer portals
• Experience with charge entry from superbills and posting ERA/EOB
• Strong commitment to maintaining HIPAA compliance
• Excellent attention to detail and organizational skills
• Effective communication skills, both written and verbal

Responsibilities

• Accurately posting medical charges, payments, and journal entries to patient accounts
• Working directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims
• Verifying insurance eligibility and benefits, along with patient registration data
• Preparing and transmitting claims using the Athena billing software
• Proactively following up on unpaid claims and researching denied claims to ensure maximum reimbursement
• Expertly appealing denied claims, navigating complex insurance guidelines
• Ensuring strict compliance with all HIPAA regulations and industry standards
• Performing eligibility verification and obtaining accurate claim statuses from various insurance payers
• Reviewing patient bills and reading superbills for precise charge entries
• Posting Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) from diverse systems

Preferred Qualifications

• Knowledge of credentialing processes
• Experience in denial management and appeals

Benefits

• Work From Home: Enjoy the flexibility and comfort of a remote work arrangement
• Midshift Schedule: A convenient schedule that supports work-life balance
• Competitive Salary: Earn a monthly salary ranging from Php 20,000 to Php 33,000
• Performance Bonus: Opportunity to earn up to a 20% performance bonus
• Paid Training: Comprehensive training to ensure your success in the role
• HMO Benefits: Access to health maintenance organization benefits
• Government-Mandated Benefits: All standard government benefits are provided
• Diverse Team: Collaborate and grow with a supportive and diverse group of professionals
• Professional Growth: Opportunities to enhance your skills and advance your career in the thriving RCM industry