Remote Raven
Remote Raven
Remote Raven conectează companiile cu asistenți virtuali și profesioniști calificați pentru muncă la distanță în Filipine. Serviciul său de recrutare sprijină roluri în servicii pentru clienți, contabilitate primară, marketing digital, resurse umane, sănătate, dezvoltare web, logistică, consultanță și funcții de afaceri conexe. Compania se concentrează pe candidați fluenți în limba engleză, cu educație, instruire, diplome sau certificări relevante, ajutând angajatorii să recruteze membri pentru echipele lor la distanță printr-un proces simplu, fără taxe inițiale.

Remote Medical Billing Coordinator – Philippines

Remote Raven is hiring a Philippines-based Medical Billing Coordinator to support a US healthcare organization. The role focuses on insurance verification, patient communication, scheduling, referrals, authorizations, and accurate EHR documentation.

Descriere

  • Confirm patient eligibility, network participation, active coverage, deductibles, copays, coinsurance, out-of-pocket limits, and service-specific benefits
  • Determine referral and prior authorization requirements based on the payer and service
  • Use payer portals and contact insurers to confirm coverage and benefits
  • Record insurance verification findings in the EMR or EHR
  • Respond to incoming patient calls
  • Place outgoing calls for scheduling, benefit verification, document collection, and follow-up
  • Communicate insurance benefit details to patients in clear terms
  • Respond to patient questions and resolve concerns
  • Schedule, change, and confirm appointments across providers and service lines
  • Process referrals and coordinate with internal teams and outside providers
  • Review and update patient demographic records
  • Keep thorough records of patient interactions and related transactions

Cerințe

  • Proven experience in a US healthcare call center environment is required
  • Practical experience performing insurance verification and verification of benefits for US payers
  • Working knowledge of deductibles, copays, coinsurance, out-of-pocket expenses, and benefit structures for commercial and government plans
  • Experience determining referral and prior authorization requirements by payer
  • Proficiency using payer portals and communicating with insurance carriers
  • Experience documenting insurance checks and patient interactions in an EMR or EHR
  • Medical scheduling experience, including referral coordination
  • Strong attention to detail and accuracy in verification and recordkeeping
  • Organized and dependable when handling high call and task volumes
  • Clear, professional communication skills
  • Ability to manage challenging conversations and complex payer issues calmly
  • Awareness of and compliance with HIPAA requirements
  • EMR or EHR proficiency is required
  • Payer portal navigation is required
  • Proficiency with Microsoft 365 or Google Workspace
  • Reliable high-speed internet, a quiet dedicated workspace, and a quality headset
  • Full-time availability from Monday through Friday during US business hours
  • Ability to work in a HIPAA-compliant setting

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