Company Description Medmetrix is a healthcare technology platform that integrates AI-driven medical algorithms to support preventive care and diagnostic processes. The organization focuses on making modern, advanced medical solutions widely accessible and practical for everyday clinical use. By combining technology and medicine, Medmetrix aims to improve the accuracy and efficiency of healthcare decision-making. Team members collaborate across disciplines to build tools that help providers deliver timely, informed care.
Role Description The Medical Biller will be responsible for accurately preparing, submitting, and following up on medical claims to insurance carriers, including Medicare and private insurers. Day-to-day tasks include reviewing patient information and clinical documentation, assigning appropriate ICD-10 codes, verifying insurance coverage, and managing denials and appeals to ensure timely reimbursement. The role also involves maintaining detailed billing records, communicating with healthcare providers and payers to resolve billing issues, and ensuring compliance with regulatory and payer requirements. This is a full-time, on-site role based in Quezon City.
Qualifications
- Strong knowledge of medical terminology and the ability to interpret clinical documentation.
- Proficiency with ICD-10 coding and familiarity with standard coding and billing guidelines.
- Experience working with insurance claims processes, including private insurance and government payers.
- Hands-on experience handling denials, claim corrections, and appeals to resolve reimbursement issues.
- Understanding of Medicare billing rules, coverage policies, and compliance requirements.
- Attention to detail, strong numerical and analytical skills, and accuracy in data entry.
- Effective written and verbal communication skills for interacting with providers, patients, and payers.
- Ability to work on-site in Quezon City and manage multiple tasks within billing deadlines.
- Previous experience in medical billing, healthcare finance, or revenue cycle management preferred.
- Relevant certification in medical billing and coding or a related field is an advantage.
