Billing Specialist | WFH
3 weeks ago
Overview We are DME, a healthcare BPO leader delivering customized, HIPAA-compliant workforce solutions that enhance productivity and customer experiences. Driven by our core values, we help companies across industries understand customer needs and develop innovative solutions. Our mission is to enhance our clients’ brand value through positive customer experiences while achieving strategic business goals. At DME Service Solutions, diversity, equity, and inclusion are more than words—they define who we are. Our commitment to these values is unwavering, and our agents are dedicated to serving communities from all backgrounds. Innovation and integrity are at the heart of our business philosophy. Our employees enjoy a world-class experience and benefits, which they extend to their service for our clients and their customers. We are dedicated to supporting the healthcare industry, partnering with biotech companies, healthcare systems, medical device manufacturers, and medical supply distributors. If you believe in business as a force for good and in companies doing well while doing good, you’ve come to the right place. Job Brief: As Billing Specialist, responsible for the completion of all tasks and duties required of a Medical Biller. These administrative and billing tasks are vital in ensuring our patients are billed accurately. This role is critical in maintaining patient satisfaction and operational success at our multiple clinics throughout the US from a central location. Responsibilities Maintain patient confidentiality and comply with HIPAA regulations. Review Explanation of Benefits (EOBs) and electronic remittance advice (ERA) for accuracy, post payments, and address denials. Prepare and submit accurate professional claims to insurance companies, government payers, or third-party payers. Accurately execute claim processing tasks by following detailed project instructions. Identify and resolve billing errors, underpayments, or overpayments. Update and maintain accurate patient billing records. Communicate with payers to verify claim status, resolve disputes, and obtain necessary documentation. Required Qualifications 3 to 5 years of US healthcare experience with the knowledge and skills required. 3 years experience of professional claim billing preferred but not required. 3 years experience AR experience in a healthcare setting required. Knowledge of billing processes, insurance guidelines, and healthcare terminology. Advanced proficiency in EOB analysis for claim denial management and payment posting. Experience with billing software and electronic health records (EHR) systems. Strong attention to detail and accuracy. Excellent communication and problem-solving skills. Understanding and validation of patient eligibility, knowledge of CPT codes, DX codes, NPI numbers, Revenue codes, and Provider Tax IDs. Proficient in denial and rejection handling. Experience handling multiple providers’ claims. Experience handling Medicare and Medicaid claims – establishing patient eligibility, coordination of benefits (COB), knowledge of primary rules and determinations, knowledge of Independent Practice Associate (IPA), etc. Knowledge of all provider types – such as Billing Provider, Referring Provider, Rendering Provider, etc. Knowledge of medical terminology, basic anatomy and physiology. Ability to multi-task with all the above and remain focused and calm during stressful situations. Strong organizational skills and prioritization; ability to work independently and meet deadlines. #J-18808-Ljbffr
-
Client Billing Specialist
3 days ago
, Metro Manila, Philippines Isentia Full timeJoin to apply for the Client Billing Specialist role at Isentia . Job Purpose Client Billing Specialists are responsible for the accurate and timely billing of all clients in line with their contractual obligations. This includes coordinating upfront and ongoing charges, monthly checks for ad‑hoc billing, and the provision of accurate and timely reports as...
-
Billing and Collection Specialist
3 weeks ago
, Metro Manila, Philippines Chargeflow Full timeWho We're Looking For - The Dream Maker We are seeking a meticulous and detail-oriented Billing and Collection Specialist to join our team. In this role, you will be responsible for managing various aspects of billing operations, ensuring accuracy, compliance, and efficiency. You will collaborate closely with finance, sales, and customer success to address...
-
Billing Specialist
3 days ago
Bonifacio Global, Metro Manila, Philippines Manpower Outsourcing Services, Inc. Full time ₱900,000 - ₱1,200,000 per yearAs Billing Specialist, must be an independent, self-motivated and detailed oriented professional, able to handle Billing and PO fulfillment management across all Projects; participates pre-sales and project support and can independently communicate with customer to ensure higher contract/ process & billing fulfillment efficiency.Monitor end to end...
-
Billing Specialist
3 weeks ago
, Metro Manila, Philippines Five9 Full timeJoin us in bringing joy to customer experience. Five9 is a leading provider of cloud contact center software, bringing the power of cloud innovation to customers worldwide. Living our values everyday results in our team-first culture and enables us to innovate, grow, and thrive while enjoying the journey together. We celebrate diversity and foster an...
-
Billing Specialist
2 weeks ago
Manila, Philippines ASW Full timeJob Description ASW COMPANY OVERVIEW ASW is creating the world’s most talented international family through hiring and growing talent into long-term careers with Australian companies. ASW is a recruitment and talent specialist, that partners with Australian companies to help them build highly capable international teams. We enable Australian companies to...
-
EHR/PM Data Migration Specialist
2 days ago
, , Philippines Nirvana Billing and Staffing Full timeOverview We are seeking a highly skilled EHR/PM Data Migration Specialist (Back-End Systems) with deep technical experience in eClinicalWorks (eCW) and AdvancedMD. This role focuses on the back-end architecture, data integrity, and system integrations involved in migrating healthcare organizations from legacy platforms to modern systems. You will act as the...
-
Billing and Collection Specialist
2 weeks ago
Philippines Chargeflow Full time ₱900,000 - ₱1,200,000 per yearWho We're Looking For - The Dream MakerWe are seeking a meticulous and detail-oriented Billing and Collection Specialist to join our team. In this role, you will be responsible for managing various aspects of billing operations, ensuring accuracy, compliance, and efficiency. You will own the incomes of the company and be in charge of all the treasure here....
-
Billing & Contract Specialist
3 days ago
Manila, Philippines Permhunt Full timeAbout the job Billing & Contract Specialist POSITION SUMMARY: The Construction Billing and Contract Specialist will manage project billing, contract setup, pre-qualification submissions, and related compliance documentation. This position requires a detail-oriented, proactive professional with strong organizational skills who can handle overlapping...
-
Medical Billing Specialist
2 weeks ago
Manila, National Capital Region, Philippines Unlock HBA Full time $60,000 - $80,000 per yearThis is a remote position.Virtual Rockstar is seeking a Medical Billing Specialist to support one of our pediatric therapy partners based in Nebraska.The Medical Billing Specialist will play a key role in ensuring accurate billing, efficient claims management, and effective authorization processes for the practice. This role requires strong attention to...
-
Senior Billing Specialist
3 days ago
, Metro Manila, Philippines Five9 Full timeKey Responsibilities: Prepare and process daily billings to ensure client invoices are accurate, consistent with contractual requirements, and issued on a timely basis. Research and resolve billing, credit, and accounts receivable issues. Review and reconcile account balances in Accounts Receivable. Interface with internal customer service and support...
