Authorization & Eligibility Medical Billing Specialist

Snapscale


Date: 19 hours ago
City: Davao
Contract type: Full time
Snapscale is looking for an expert Authorization and Eligibility Medical Billing Specialist to perform the following functions:

  • Verify insurance eligibility, benefits, exclusions, deductibles, co-pays, and co-insurance for occupational and speech therapy patients.
  • Contact insurance providers to clarify discrepancies or misquoted benefits.
  • Enter benefit details into forms and calculate patient responsibility (worst- and best-case coverage scenarios).
  • Complete good-faith estimates.
  • Check, submit, and track therapy authorization requirements.
  • Ensure all services have valid authorizations to prevent denials.
  • Upload and process data from E-Bridge Software; maintain accurate and updated EMR records.
  • Review medical records to confirm authorization and eligibility accuracy.
  • Use medical terminology and coding knowledge for eligibility and authorizations.
  • Re-verify insurance coverage based on denial codes.
  • Protect patient confidentiality and comply with HIPAA regulations.
  • Work with providers and staff to resolve authorization and billing issues.
  • Perform follow-up tasks related to billing as directed by the Senior Medical Billing & RCM Manager.

Requirements:

  • 5+ years of experience handling insurance authorizations, eligibility, and benefits verification for OT, PT, and SLP clinics (pediatrics preferred)
  • Proficient in insurance portals, calling insurers, and EMR data entry
  • Ideal candidate has experience with Fusion Web Clinic EMR (Therapy Brands)
  • Experienced in billing for OT, PT, and SLP services
  • Background in private practice settings preferred
  • Strong medical terminology, anatomy, and insurance billing knowledge
  • Detail-oriented, hardworking, and diligent
  • Tech-savvy and quick to learn new EMR systems
  • Accurate in coding and billing with strong understanding of reimbursement processes
  • Clear communicator; able to work effectively with providers, insurers, and patients
  • Highly reliable and responsive

How to apply

To apply for this job you need to authorize on our website. If you don't have an account yet, please register.

Post a resume

Similar jobs

TYPICALLY REPLIES IN 30 DAYS

Bachy Soletanche Singapore, Davao
1 day ago
Report discriminatory job ad to TAFEPRoles & ResponsibilitiesThe Operations Director is responsible for overseeing the day-to-day operational functions of the organization, ensuring that business operations are efficient, scalable, and aligned with the company's strategic goals. This leadership role involves managing multiple departments, optimizing internal processes, and driving performance improvements across the organization.ResponsibilitiesDevelop and implement operational strategies to align with the...

Sales Manager - Energy Storage (WFH - Davao)

Lennor Group, Davao
6 days ago
About Lennor GroupAs a proud Filipino company, we are committed to providing world-class business and workforce solutions. Our deep market expertise, combined with a global perspective, empowers us to serve businesses of all sizes and industries efficiently.Our brand, Lennor Metier, is a leading recruitment agency and headhunting firm in the Philippines, partnering with reputable companies to source top talent for...

Senior Software Engineer (Davao)

O&B, Davao
2 weeks ago
As a Senior Software Engineer, you’ll be instrumental in leading a team of junior developers, mentoring them to grow their skills, and fostering a collaborative environment. You’ll work closely with clients, offering your software development expertise and ensuring that project implementations meet the highest standards. This role emphasizes continuous learning, active participation in team discussions, and shaping the direction of...