US Medical Billing and Claims Specialist

March 12

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Penbrothers

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Penbrothers is a leading provider of remote staffing solutions based in the Philippines. The company specializes in helping businesses find, hire, and manage top Filipino talent, offering a seamless onboarding process and comprehensive HR support. By streamlining administrative tasks such as payroll and compliance, Penbrothers allows companies to focus on their core objectives while building effective, high-performing remote teams. Their mission revolves around humanizing growth, ensuring that both business success and employee well-being are prioritized.

Talent Acquisition • Employment and Onboarding • HR Management and Payroll • Compliance • Office Space

201 - 500 employees

Founded 2014

🤝 B2B

🎯 Recruitment

👥 HR Tech

📋 Description

• Oversee the quality and execution of daily claim submissions and payment transactions. • Manage the daily reconciliation of charges, adjustments, and payments. • Follow up on claims and submit reconsiderations and appeals as needed. • Interact with providers and clients in a positive, professional manner, with a sensitive approach to discussions regarding financial matters. • Maintain, enhance, and document knowledge of key rules and best practices related to revenue cycle operations. • Keep the team informed of changes in insurance company policies and guidelines. • Assist the team with other functions as needed or requested.

🎯 Requirements

• At least 3 years of experience in medical billing and claims processing. • Outpatient PT billing is preferred • Familiarity with medical billing software and Electronic Health Records (EHR) systems. • Certification as a biller/coder (AAPC or AHIMA certified) is a must. • Extensive experience and aptitude in all aspects of the medical billing cycle, including but not limited to denial management and accounts receivable (AR) management. • Strong working knowledge of ICD-10 (medical coding system) and CPT codes. • Experience navigating payer portals. • Eagerness to collaborate with an interdisciplinary team, including providers, operations, engineers, and product managers. • Ability to manage multiple priorities efficiently. • Quick to learn and adapt to new tools. • A team player with strong communication skills and a positive attitude that contributes to a collaborative work environment. • Exceptional attention to detail and organizational skills. • Excellent communication and problem-solving abilities. • Ability to work independently in a remote setting while maintaining accountability.