Senior Medical Billing Specialist

4 weeks ago

Muntinlupa, Philippines Gear Inc Full time

The ideal candidates will have at least 2 years of experience in medical billing, AR Calling, Denial Management or a related field and possess strong English proficiency. As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis. Outbound Calling & Stakeholder Management Lead outbound calls to insurance companies and payors to collect comprehensive information, including claim statuses, detailed denial reasons, payment discrepancies, and any required follow-ups. Build and maintain professional relationships with external stakeholders to facilitate timely resolution of complex billing issues. Ensure all communication is conducted in full compliance with client guidelines, healthcare regulations (e.g., HIPAA), and industry best practices. Data Management, Categorization, and Reporting Independently manage accurate recording, categorization, and labeling of data using client-defined taxonomy, ensuring alignment across teams. Identify gaps or inconsistencies in data categorization and proactively propose improvements to enhance reporting quality and analysis efficiency. Prepare and deliver detailed, structured reports and dashboards to the client at agreed frequencies, highlighting key trends and potential risks. Advanced Call Transcript Analysis & Process Optimization Review and analyze recorded call transcripts to extract actionable insights, identify denial trends, systemic issues, and patterns impacting claim outcomes. Synthesize findings into comprehensive reports and present recommendations for process enhancements, contributing to the continuous improvement of billing and collection workflows. Collaborate closely with internal teams and client representatives to implement agreed process changes and measure their effectiveness. Mentorship & Knowledge Sharing Provide guidance and support to junior team members in best practices for calling, data labeling, and analysis. Contribute to the development of internal training materials and knowledge bases. Qualifications: Minimum of 2 years of experience in medical billing, insurance claims, or a related field. Strong English proficiency, both verbal and written. Familiarity with healthcare regulations and industry guidelines. Excellent communication skills with the ability to make outbound calls to insurance companies and payors. Detail-oriented and able to maintain accurate records. Ability to work independently while adhering to internal guidelines and procedures. Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus. Additional Information: This is a full-time position, and the successful candidate will work closely with the clients team to support their AI-powered platform in improving medical billing operations. The role offers an opportunity for professional growth and development within a dynamic, technology-driven environment.

  • Medical Billing Specialist

    7 days ago

    Muntinlupa, Philippines Sourcefit Full time

    Position Summary: Our client is seeking a tenacious and detail-oriented Medical Billing Specialist . The ideal candidate will have experience in mental health and/or substance abuse treatment billing, or revenue cycle management. This role is integral to ensuring accurate billing processes and effective revenue cycle management, contributing to the financial...

  • Senior Medical Billing Specialist

    4 weeks ago

    Muntinlupa, Philippines Gear Inc Full time

    The ideal candidates will have at least 2 years of experience in medical billing, AR Calling, Denial Management or a related field and possess strong English proficiency. As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling,...

  • Medical Billing Quality Analyst

    7 days ago

    Muntinlupa, Philippines Gear Inc Full time

    About the job Medical Billing Quality Analyst Designation Quality Analyst Job Level Intermediate Department Medical Billing/AR Reporting to Senior Operations Manager PURPOSE OF THE POSITION The Quality Analyst (QA) in the Healthcare Accounts Receivable (AR) and Medical Billing team plays a critical role in maintaining service excellence by ensuring...

  • Billing Specialist

    1 week ago

    Muntinlupa, Philippines E-Solutions Full time

    Senior Recruiter @ E-Solutions | Global Talent Acquisition, Talent Sourcing Work Setup: Amenable to work on Australian business hours and shifting schedules Overview: The Junior Billing Specialist will support the billing and invoicing process to ensure accuracy, compliance, and timely processing of client accounts. This role provides an excellent...

  • Billing Specialist

    5 days ago

    Muntinlupa, Philippines Coforge Full time

    Coforge Muntinlupa City, National Capital Region, Philippines Job Title: Billing Specialist / Accounts Receivable Specialist Skills: Strong knowledge of billing processes, accounts receivable, and financial operations. Experience: At least 3 years of experience in billing, accounts receivable, or financial operations. Responsibilities Invoice Management:...

  • Junior Medical AR

    3 weeks ago

    Muntinlupa, Philippines Gear Inc Full time

    Junior Medical AR & Denial Management Specialist Job Openings Junior Medical AR & Denial Management Specialist About the job Junior Medical AR & Denial Management Specialist Job Location: Muntinlupa, Metro Manila, PhilippinesJob Name: Junior Medical AR & Denial Management Specialist Job Description : Sign-On Bonus Offered! Join us and receive a competitive...

  • Senior Team Lead, Medical AR

    3 weeks ago

    Muntinlupa, Philippines Gear Inc Full time

    Senior Team Lead, Medical AR & Denial Management Job Openings Senior Team Lead, Medical AR & Denial Management About the job Senior Team Lead, Medical AR & Denial Management The STL is expected to mentor team leaders, manage escalations, guide productivity, and help improve operational workflows based on data insights and volume trends. They serve as a key...

  • Medical Bill Processor | BPO Healthcare | Muntinlupa City

    7 days ago

    Muntinlupa, Philippines ADEC INNOVATIONS HEALTHCARE, INC Full time

    JOB SUMMARY The Medical Bill Processor is responsible for ensuring accurate and timely processing and payment of bills, including pre-coding, data entry, and adjudication of non-medical claims. This role also involves conducting provider outreach and obtaining necessary documentation and data to support claim processing. JOB RESPONSIBILITIES Examines,...

  • Remote Medical Coding Specialist

    2 weeks ago

    Muntinlupa, Philippines Hampton Healthcare Full time

    Join Hampton Healthcare as a Certified Medical Coding Specialist Hampton Healthcare is focused on providing high-quality onshore and offshore staffing solutions for healthcare organizations and practices across the U.S. My mission is simple: to connect healthcare businesses with top talent while improving efficiency, lowering costs, and enhancing patient...

  • Senior Team Lead, Medical Billing, AR

    3 weeks ago

    Muntinlupa, Philippines Gear Inc. Full time

    Senior Team Lead, Medical Billing, AR & Denial Management Gear Inc. Muntinlupa City, National Capital Region, Philippines Job Information You are in charge of leading and supervising a group of content moderators. Guarantee that content guidelines are followed, a secure and polite online environment is maintained, and any platform policy violations are...