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Medical Billing and Appeals Specialist

CrewBloomRemote — Philippines
Remote Full-time

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Experience Level

Entry Level

Qualifications

Key Qualifications:Basic knowledge of medical billing and appeals processes. Familiarity with CPT and ICD coding systems. Strong analytical skills to review EOBs and error codes. Excellent written communication and typing skills. Detail-oriented with a passion for continuous learning.

About the job

Join our team as a Medical Billing & Appeals Specialist where you will play a vital role in the submission of appeals for denied claims and assist in the daily billing operations of our organization. This position is perfect for individuals with a basic understanding of billing practices who are enthusiastic about expanding their skills.

Key Responsibilities:

  • Prepare and submit appeals for denied medical claims effectively.
  • Analyze Explanation of Benefits (EOBs) and error codes to interpret claim denials.
  • Assist in the accurate application of CPT and ICD codes under supervision.
  • Support claims processing for workers’ compensation carriers.
  • Contribute to various billing and administrative tasks as needed.

Requirements:

  • Fundamental knowledge of medical billing and appeals protocols.
  • Familiarity with CPT and ICD coding systems.
  • Ability to review and interpret EOBs and denial/error codes.
  • Excellent written communication and typing capabilities.
  • Meticulous attention to detail with a strong desire to learn and improve.

Preferred Qualifications:

  • Experience in Pain Management or Imaging specialties.
  • Previous involvement in medical billing or revenue cycle positions.

Minimum Technical and Work Environment Requirements:

  • Internet Connectivity:
    • Primary internet connection with a minimum speed of 15 Mbps.
    • Backup internet connection with a minimum speed of 10 Mbps to ensure productivity during outages.

  • Primary Device:
    • Desktop or laptop must have:
      • Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor.
      • A minimum of 8 GB RAM.

  • Backup Device:
    • Must perform at or above the level of an Intel Core i3 processor.
    • Must remain usable during power interruptions.

  • A functioning webcam.
  • A noise-canceling USB headset.
  • A quiet, dedicated home office space.
  • Peripherals and Workspace: A smartphone for communication and verification.

Benefits:

  • Join a vibrant team culture that values your contributions and fosters professional growth.
  • Access daily learning and innovative opportunities to make a significant impact.
  • Explore endless career advancement possibilities and resources.
  • Engage in a fast-paced work environment with thrilling challenges.

About CrewBloom

CrewBloom is a dynamic company dedicated to fostering an inclusive and innovative work environment. Our culture emphasizes the unique contributions of each team member and supports their professional development.

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