Colombia Job Openings
Solvo Global SAS
Medical Biller
Medellín
FULL TIME
November 20, 2024
We are expanding our team and looking for a detail-oriented and organized Medical Biller to join us on-site in Barranquilla, Bogota, Bucaramanga, Cali, or Medellín. This role is perfect for someone with a CPB (Certified Professional Biller) certification who excels in both administrative and customer service functions related to medical billing.
Location: On-site in Barranquilla, Bogota, Bucaramanga, Cali, or Medellín
Shift: Monday to Friday, 8:00 am to 6:00 pm EST
Key Responsibilities:
- Eligibility and Benefit Verification: Ensure patient eligibility and benefits for upcoming visits.
- Pre-Authorization: Obtain and manage pre-authorizations for outpatient and inpatient services, coordinating with clinicians as needed.
- Charge Entry: Accurately enter medical charges electronically based on final diagnoses and procedures.
- Claim Preparation: Prepare and submit claims, tracking them through the billing process.
- Follow-Up on Payments: Monitor claims until payment is received, including managing collections if necessary.
- Customer Service: Address patient billing questions and resolve financial obligations.
- Communication: Maintain open communication with clients, families, and internal staff regarding billing matters.
- Billing Standards Improvement: Participate in efforts to improve billing and charge capture standards.
- Denial Management: Identify denial patterns, perform charge follow-up, submit supporting documents, and correct errors in insurance or demographic data.
- CPB (Certified Professional Biller) certification preferred.
- Experience with various billing and collections systems.
- Strong organizational and communication skills.
- Ability to efficiently manage claim denials and collections.
- Problem-solving skills
- Organized and proactive
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