Position: MEDICAL BILLER
Location: ILOILO CITY
Employment Status: FULL TIME
KEY RESPONSIBILITY AREAS (KRA)
• Take the data provided by the medical coders and use it to compile and submit claims to
insurance companies and then subsequently bill patients
• Navigate through various insurance rules and regulations to reduce A/R days
• Understand the nuances of various types of insurance carriers along with their claim
requirements
• Provide successful follow-up efforts for A/R including the appeals process for denied
claims
• Implement best practices for insurance and patient collections while maintaining
excellent public relations
• Reduce risk by understanding Fair Debt collection practices, professional courtesy
regulations, clean claims and timely filing guidelines, refund requirements, and other
regulations
• Use data and reports as indicators for potential improvement areas
• Collect delinquent accounts by establishing payment arrangements with patients,
monitor payments and also follow-up with patients when/if payment lapses occur
• Maintain Medicare bad-debt cost report by tracking billings, monitoring collections,
compiling information
• Initiate claims against estates by monitoring deaths and unpaid accounts
• Secure outstanding balance payments for care of hospital employees by establishing
payroll deductions; obtaining signatures for automatic transfers
• Maintain work operations by following policies and procedures; reporting compliance
issues
•Protect hospital value by keeping collection information confidential
• Adhere to professional standards, hospital policies and procedures, federal, state and
local requirements
• All other tasks and duties as assigned