Position Type: Full-time, Non-exempt
Compensation: Php 30,000 to 45,000
Job Location: Remote (Philippines)
Company Overview
Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation.
As a leading edge, innovative, and quality driven physician group, we continue to expand nationally. In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team
Theoria’s Quality Department is seeking individuals to join its team as a Medical Biller/Revenue Cycle Analyst to support its billing department. The Medical Biller/Revenue Cycle Analyst position is a crucial role in ensuring that Theoria's billing department operates efficiently and effectively. The successful candidate will be responsible for accurately processing and submitting claims, reviewing and reconciling accounts, and ensuring compliance with all billing regulations and guidelines.
The ideal candidate for this position will have experience working in medical billing, strong attention to detail, and excellent communication and interpersonal skills. They will also have the ability to work collaboratively with other members of the billing team and healthcare providers.
Shift Structure
- Monday-Friday 8am-7pm EST flexibilities
Essential Functions and Responsibilities
- Review medical notes for billing accuracy and productivity to ensure appropriate assignment of CPT and ICD-10 codes
- Conduct chart review to ensure quality of published notes
- Provide feedback to medical staff and answer any questions posed
- Review and analyze medical claims to ensure accuracy and completeness
- Monitor and follow up on outstanding claims
- Review and reconcile patient accounts, including identifying and resolving discrepancies
- Ensure compliance with all billing regulations and guidelines, including HIPAA regulations
- Maintain up-to-date knowledge of billing codes, regulations, and procedures
- Work collaboratively with healthcare providers and other members of the billing team to resolve billing issues
- Prepare and submit reports related to billing activities
- All other duties customary associated with this role and any other duties assigned
Requirements and Qualifications
- Graduate of BS Nursing or comparable degrees in medical field
- Certified Coding credential (AHIMA/AAPC/CPC/CIC)
- Coding experience of at least 3 years
- Understanding of ICD-10 and CPT codes
- Understanding of insurance rules such as primary, secondary
- Must have billing experience
- Working on eCW is preferred
Physical Requirements
- Must be punctual or on time and adhere to the company's Time and Attendance policy.
- Must be able to remain sitting for the majority of their shift.
Compensation and Benefits
- PTO and Holiday pay
- HMO
- Continuing Education allowance
Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position.
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