Us Healthcare Medical Biller

Summary

Join Neolytix as a remote Athena Medical Biller and play a crucial role in our revenue cycle management operations for US healthcare clients. You will accurately post charges, payments, and journal entries; work with insurance companies and patients to process claims; verify insurance eligibility and benefits; prepare and transmit claims using Athena; follow up on unpaid claims and appeal denials; and ensure HIPAA compliance. This mid-level position offers a competitive salary (Php 20,000-33,000), performance bonuses, paid training, HMO benefits, government-mandated benefits, and opportunities for professional growth. The role requires proven experience with Athena billing software, US healthcare insurance guidelines, and medical billing best practices. A midshift schedule and work-from-home arrangement provide work-life balance.

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