The posting
About the Role
Snapscale is looking for a detail-oriented Medical Biller to manage insurance claims, payment posting, denial resolution, and insurance verification for a US-based healthcare practice. The ideal candidate has a strong understanding of medical billing procedures, excellent problem-solving skills, and the ability to maintain accurate billing records while ensuring claims are submitted correctly and on time.
Responsibilities
- Prepare and submit primary and secondary insurance claims accurately and on time.
- Review new patient accounts to verify that all required information is complete and correctly entered.
- Scrub claims to ensure billing codes, units, and other claim details are accurate before submission.
- Batch and submit electronic claims through the designated clearinghouse.
- Review rejected and denied claims, correct errors, and resubmit claims as needed.
- Prepare paper claims with supporting documentation and coordinate mailing when required.
- Return unbillable claims to the appropriate front-desk team with clear notes on missing information or required corrections.
- Post patient payments and maintain accurate payment records.
- Follow up on unpaid claims by contacting insurance companies or using insurance portals.
- Communicate with patients to address billing questions and help resolve payment concerns.
- Verify patient insurance eligibility and benefits, including copays, deductibles, coverage, and prior authorization requirements.
- Coordinate with insurance companies, patients, and healthcare providers to clarify coverage and obtain missing information.
- Upload and update patient information in the electronic medical record (EMR) and billing systems.
- Ensure insurance verification details and billing activities are accurately documented.
- Protect confidential patient information and follow applicable healthcare privacy requirements.
Work Arrangement
- Setup: Onsite for the first 6 months, with a transition to work-from-home afterward, subject to company requirements and performance.
- Employment Type: Full-time
- Salary: ₱25,000–₱40,000 per month
Perks
- HMO upon completion of 3 months
- Attendance bonuses and employee incentives
- Referral bonus
- 24 leave benefits
- Free lunch onsite
- Transportation allowance
- Annual salary increase based on performance appraisal
- Career growth and development opportunities
- Fun and supportive work environment
Requirements
- Previous experience as medical biller, claims processing, or healthcare revenue cycle management.
- Knowledge of primary and secondary claims, claim scrubbing, payment posting, denials, and resubmissions.
- Experience verifying insurance eligibility, benefits, copays, deductibles, and authorization requirements.
- Familiarity with insurance portals and electronic claims clearinghouses.
- Experience using EMR/EHR or medical billing systems.
- Strong attention to detail, analytical skills, and problem-solving abilities.
- Good written and verbal English communication skills.
- Ability to manage multiple claims, meet deadlines, and maintain accurate documentation.
