Medical Biller
Naga City, Region V, Philippines
Regular
Position Overview
The Medical Biller ensures timely and accurate billing processes for an OB/GYN clinic, including claims preparation, submission, follow-ups, posting payments, and handling denials. This role works closely with clinic staff and virtual receptionists to maintain a smooth revenue cycle workflow from patient registration to reimbursement. The Medical Biller must be detail-oriented, familiar with insurance requirements, and capable of handling provider and payer communication in a remote setup.
Core Responsibilities
Billing & Claims Processing
- Prepare and submit insurance claims (electronic & paper) for OB/GYN services, exams, and procedures.
- Review patient charts, encounter forms, CPT/ICD-10 codes, and verify documentation accuracy.
- Ensure all claims are filed within timely filing limits.
Insurance Coordination
- Verify patient insurance eligibility and benefits when necessary.
- Check coverage for prenatal visits, ultrasounds, family planning services, contraceptive procedures, and other OB/GYN treatments.
- Communicate with insurance carriers regarding claims status, requirements, and prior authorizations.
Follow-up & Denials Management
- Monitor unpaid claims and follow up regularly until resolved.
- Handle rejections and denials by identifying reasons, correcting codes, and resubmitting claims promptly.
- Maintain aging reports and ensure reduction of A/R days.
Payment Posting & Reconciliation
- Post EOBs, ERAs, and patient payments into the billing system accurately.
- Reconcile daily deposits, electronic postings, and patient balances.
- Send patient statements and coordinate with the front office for collections.
Compliance & Confidentiality
- Ensure HIPAA compliance in handling patient information.
- Follow clinic billing policies, data privacy rules, and payer guidelines.
- Maintain secure handling of access credentials and PHI data.
Tools & Systems Used
- Medical Billing Software (Kareo, AthenaCollector, AdvancedMD, DrChrono, eClinicalWorks or similar)
- Clearinghouse portals (Availity, Office Ally, Change Healthcare, etc.)
- EHR/EMR Platforms
- Insurance provider portals for eligibility & claim status
Job Requirements
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Minimum of 2 years of related experience as a Medical Biller, RCM Specialist, AR Follow-Up Specialist, Claims Processor, or similar role.
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Prior billing experience in OB/GYN or Women’s Health is highly preferred.
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Knowledge of CPT, ICD-10, and HCPCS codes, especially for prenatal and gynecological procedures.
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Degree holder preferred; completion of an Allied Health course is an advantage but not mandatory.
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Work onsite only l Available to start ASAP.
Send your CV to: hr@dmibpo.com
Visit us at 3F Greenwood Bldg., Magsaysay Avenue, Naga City
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