We're Hiring! Discover why our work environment was awarded as a Great Place to Work. Join our team, Apply TODAY! We are hiring for Senior Medical Billing Specialist. What's in it for you? Competitive CompensationMonthly Allowance & Perfect Attendance BonusMid-Year BonusHMO Coverage & Life insuranceMandated Government Benefits25% Night DifferentialAnnual IncreaseCompany provided equipmentGreat Company CultureWork Set-up: Onsite - Ortigas Shift: 8:00 PM- 5:00 AM (Philippine Time) Tuesday - Saturday Roles and Responsibilities: The Senior Medical Billing Specialist is responsible for conducting insurance verifications and obtaining prior authorizations for a diverse range of therapy services, including Physical Therapy, Occupational Therapy, Speech Therapy, Autism Therapy, and Outpatient Behavioral Health. This role requires a knowledgeable, organized, and professional individual with excellent communication skills to ensure timely processing and compliance with insurance requirements.
Job Responsibilities: Verify patient eligibility and benefits via portal and/or phone call, including collecting referral and authorization requirements, across multiple payers, states, insurance products, and specialties within customer SLAs.Work closely with providers to collect accurate patient and medical records and communicate authorization decisions.Expediently complete prior authorizations using insurance portals or calling insurers directly.Ensure authorization is approved in a timely manner by following up with insurers and providing additional information.Be responsible for handling multiple prior authorizations simultaneously and create processes to ensure top-of-the-line performance.Become a subject matter expert in prior authorization workflows for large insurers.Communicate effectively across multiple stakeholders.Maintain strict confidentiality and adhere to HIPAA regulations in handling patient information.Required Qualifications: Strong understanding of insurance policies and medical billing processes including CPT coding.Familiar with providers' software, including Electronic Medical Record Systems (EMR/EHR) and Practice Management Systems (PMS).Experienced with HMOs, PPOs, POSs, EPOs, Medicare, Medicaid. Understanding of each through the referral and authorization process.Familiarity with navigating insurance portals.Strong phone etiquette and customer service skills, experience calling insurers to collect benefits and confirm authorization status.Strong work ethic to operate with urgency, work independently, be highly organized, detail-oriented, and multi-task effectively.Can work efficiently under deadlines.Why choose CONNEXT? Great Company Culture, Great Place to work Certified, Great Benefits, and lots of room for growth. CONNEXT is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance industries.
#J-18808-Ljbffr