Medical Billing Specialist New Philippines

Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time: family caregiving. Over 50 million Americans are family caregivers for loved ones without pay, tools, or support. Our mission is clear and ambitious: to train and employ family caregivers so they can get paid for the care they already provide at home. Abby Care is building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide. We are rapidly expanding our mission and looking for passionate team members to join. Abby Care has partnered with leading insurance plans, healthcare providers, and community organizations. We’re supported by top, mission-driven VCs to empower families throughout the country. The role You’ll play a key role in ensuring timely and accurate reimbursement for home health services. Responsibilities include preparing, submitting, and following up on claims to insurance providers, government payers (e.g., Medicare, Medicaid), and patients. This role requires strong attention to detail, regulatory compliance, and clear communication with healthcare teams and payers. Key Responsibilities: Billing and Claims Submission: Prepare, review, and submit accurate claims to insurance companies. Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered. Maintain up-to-date knowledge of Medicare, Medicaid, and private insurance billing requirements specific to home health care. Use billing software to process and track claims. Accounts Receivable Management: Monitor claim status and follow up on unpaid or denied claims promptly. Investigate and resolve claim discrepancies, denials, and appeals. Generate reports for outstanding accounts receivable and payment trends. Compliance and Documentation: Ensure all billing practices comply with federal, state, and local regulations. Verify patient insurance information, eligibility, and prior authorization requirements. Maintain accurate records of billing activities and patient accounts. Communication and Coordination: Collaborate with office staff, and payers to address billing and reimbursement issues. Provide clear communication to patients regarding their billing, payments, and financial responsibilities. Respond to inquiries from payers, patients, and colleagues in a professional and timely manner. The Requirements Education & Experience Associate’s or Bachelor’s degree in a healthcare-related field (preferred) Certification in medical billing and coding (e.g., CPC, CHBME) strongly preferred 1–3 years of hands‑on experience in medical billing, ideally within a home health care setting Solid understanding of home health billing codes, insurance policies, and reimbursement procedures Proficient in using electronic health records (EHR) and billing software High attention to detail and accuracy in documentation and data entry Strong organizational and problem‑solving abilities Clear and professional communication skills—both written and verbal Technical Requirements Familiarity with Medicare and Medicaid billing regulations specific to home health Experience with claim submission platforms such as Medicare DDE and clearinghouses Working knowledge of HIPAA compliance and patient confidentiality standard Our Values Families First Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?” Urgency with Precision Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand. Relentlessly Resourceful As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity. Purpose with Positivity We take our mission serious while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve. Driven to Redefine What’s Possible We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care. Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – global team members are eligible for an annual company performance bonus. Generous paid time off. We provide 15 days of paid time off that allow you to recharge, along with 10 paid company US holidays. Team bonding. We love bringing our teams together. As a full‑time employee, you’ll get to connect, collaborate, and have fun through team activities and our annual company retreat. Set Up for Success. We provide a company‑issued laptop to support you in your role. Growth Opportunities . Build your leadership skills while working with teams in various markets across the US. We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation. #J-18808-Ljbffr