Medical Billing Specialist, Pasig

The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, maintaining compliance with industry standards, and ensuring billing accuracy. This role focuses on precise claim preparation, attention to detail, and proper documentation to minimize errors and maximize clean claim rates. The ideal candidate will have a strong understanding of medical billing practices and payer requirements

Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles

Ensure all claim details are complete and error-free, including coding, provider information, and service dates

Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations

Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections

Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission

Ensure compliance with industry regulations, payer policies, and internal billing procedures

Maintain accurate and organized billing records and documentation

Identify and report billing trends, potential errors, and areas for process improvement

Collaborate with internal teams to standardize billing practices and enhance efficiency

Support billing audits and internal quality control measures

Other duties as assigned