Deskripsi Pekerjaan
Are you detail-oriented and passionate about the healthcare industry? MiraMed Philippines is looking for a dedicated AR Representative to join our dynamic team. In this role, you will play a crucial part in our revenue cycle management process by ensuring the accurate and timely resolution of medical claims.
We are seeking a professional who can navigate the complexities of medical billing and insurance reimbursement. You will act as the bridge between our healthcare providers and insurance payers, ensuring that claims are submitted correctly and resolved efficiently. This is a fantastic opportunity to grow your career in a supportive and innovative environment.
Join us and help us streamline our financial operations while contributing to better patient care outcomes.
Tanggung Jawab
- Review and process medical claims (HCPCS, ICD-10) to ensure accuracy and compliance with payer guidelines.
- Manage the entire accounts receivable cycle, from initial claim submission to final payment collection.
- Follow up on unpaid or delayed claims with insurance carriers to ensure timely reimbursement.
- Analyze claim denials and appeals to identify root causes and reduce rejection rates.
- Communicate effectively with patients, providers, and third-party payers regarding outstanding balances and claim status.
- Maintain accurate and up-to-date patient accounts and billing records in the EMR system.
- Ensure strict adherence to all healthcare regulations, privacy laws (HIPAA), and internal policies.
Kualifikasi
- High school diploma or Bachelor’s degree in relevant field (BS Nursing, Medical Technology, or Business Administration preferred).
- Minimum of 1-2 years of experience in Medical Billing, Medical Coding, or Accounts Receivable.
- Familiarity with ICD-10, CPT, and HCPCS coding guidelines is a strong plus.
- Knowledge of medical terminology and standard healthcare reimbursement processes.
- Strong analytical skills with a keen eye for detail to detect billing errors.
- Excellent verbal and written communication skills for client interaction.
- Proficiency in MS Office and EMR/EHR systems (e.g., Epic, Cerner).