La Vie Dialysis Center
We are looking for an experienced Medical Coder & Biller who can accurately read and interpret medical records, process U.S. healthcare claims, and review medical bills against provider estimates, approved procedures, and final charges. A graduate of a medical-related course is preferred. Key Responsibilities Request, review, and validate medical bills and records from healthcare providers. Read and interpret medical records, including diagnoses, procedures, treatments, and clinical documentation. Review provider estimates and approved procedures against final medical bills. Identify billing discrepancies, coding errors, missing documentation, and inconsistencies. Assign, verify, and apply appropriate ICD-10, CPT, and HCPCS codes . Prepare and submit accurate claims to private insurers, Medicare, and Medicaid. Verify patient eligibility, insurance coverage, benefits, and authorization requirements. Monitor and follow up on unpaid, delayed, denied, or rejected claims. Investigate claim denials, identify the root cause, make necessary corrections, and resubmit claims. Post payments, adjustments, and denials accurately in the billing system. Communicate with insurance companies and healthcare providers to resolve billing and claims issues. Maintain accurate, complete, and HIPAA-compliant medical billing and claims documentation. Prepare claim status, billing, accounts receivable, and collection reports. Qualifications Proven experience in U.S. medical coding, medical billing, claims processing, or revenue cycle management (RCM) . Strong ability to read, interpret, and understand medical records and clinical documentation. Experience reviewing and verifying medical bills, provider estimates, authorizations, and final charges. Ability to identify discrepancies between medical records, approved procedures, and billed services . Strong knowledge of medical terminology, diagnoses, procedures, and treatment workflows. Proficiency in ICD-10, CPT, and HCPCS coding . Knowledge of U.S. healthcare insurance, claims processing, and payer requirements. Familiarity with HIPAA regulations and handling confidential patient information. Strong attention to detail, analytical, organizational, and problem-solving skills. Graduate of a medical-related course is preferred. Experience with U.S. healthcare accounts, billing software, EHR/EMR, or practice management systems is an advantage. Job Type: Full-time Pay: Php40,000.00 - Php50,000.00 per month Benefits Work from home Work Location: Remote
La Vie Dialysis Center
