Medical Bill Processing Auditor

Mandaluyong City, Metro Manila
Permanent
Full-time

21 days ago
Apply easily

The Medical Bill Processing Auditor is responsible for processing incoming medical bills in accordance with applicable fee schedules, usual and customary guidelines, and PPO arrangements, while ensuring compliance with contractual client requirements.This role may also involve conducting final reviews and providing payment recommendations to clients. The analyst is expected to maintain productivity levels, accuracy, and processing speed in line with company standards and expectations set by the Bill Review Manager.Key Responsibilities

Accurately enter and review Workers' Compensation or no-fault medical bills using client systems.
Reference online documents, client-specific instructions, and training materials to ensure proper and compliant bill review.
Add or update Provider and Payee information as appropriate.
Identify duplicate and reconsideration bills accordingly.
Perform quality checks on completed work, as directed by the Supervisor or Manager.
Proactively identify system issues or billing discrepancies and communicate observations or recommendations to the Supervisor or Manager.
Perform additional duties and responsibilities as assigned.

Qualifications

Bachelor’s degree in a healthcare or business-related field, or equivalent experience.
Minimum of 1–2 years of experience in medical billing or healthcare claims review.
Proficient in applying CPT, ICD, and HCPCS coding standards.
Adept at using the 10-key pad with a minimum of 10,000+ kph or equivalent bill processing rate.

Experience with Workers’ Compensation and Auto / No-Fault medical billing is a strong advantage.
Experience with Property and Casualty insurance processes is highly beneficial.
Excellent attention to detail and analytical skills.
Familiarity with medical billing software and Microsoft Office tools.
Strong written and verbal communication skills.
Ability to manage workload independently and follow established procedures.
Willing to work a shifting schedule and transition to a hybrid work setup upon successful completion of training.
Candidates with advanced experience in US healthcare and claims management are welcome to apply.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ethnicity, age, disability, marital status, or any other characteristic protected by law.Genfinity as an Equal Opportunity Employer, believes in each person’s potential, and we’ll help you achieve yours.All information will be kept confidential according to EEO guidelines.Privacy Notice & ConsentWe value your privacy. By submitting your information through this form, you are applying for a position at Genfinity Philippines, Inc. and voluntarily providing personal information, including your name, contact details, and resume.This information will be collected and processed solely for recruitment purposes, including evaluating your qualifications, verifying your background, and contacting you about your application. Your personal data will be processed in accordance with the Data Privacy Act of 2012.You have the right to access, correct, or withdraw your data at any time. For more information, please refer to our Privacy Policy or contact our Data Protection Team at dpo@genfinity.net .By submitting this form, I acknowledge that I have read and understood the above Privacy Notice and hereby give my free, informed, and voluntary consent to the collection and processing of my personal information by Genfinity Philippines, Inc. for recruitment purposes.Powered by JazzHR

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