Senior Medical Billing Specialist

3 days 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 Specialists

    1 week ago

    Muntinlupa, Philippines BruntWork Full time

    Join to apply for the Medical Billing Specialists role at BruntWork . Direct message the job poster from BruntWork. Overview Scope: Backend billing operations focus on some patient interaction with potential expansion into front office tasks and eligibility verification. Direct training and management by an experienced billing supervisor. Work within US...

  • Senior Medical Billing Specialist

    5 days 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,...

  • Senior Medical Billing Specialist

    3 hours 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

    3 weeks 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...

  • Junior Medical AR

    6 days ago

    Muntinlupa, Philippines Gear Inc Full time

    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 sign-on bonus as a welcome to our growing team! Our leading AI platform specializing in medical billing operations, is seeking dedicated and detail-oriented Medical AR and...

  • Billing Collection Specialist In Medical Field

    3 weeks ago

    Muntinlupa, Philippines Buscojobs Full time

    Job Description Billing and Collection Specialist is responsible for ensuring that a company receives payments for its services and manages overdue accounts. Responsibilities include preparing billing statements, processing invoices, following up on collections, and maintaining accurate records. Responsibilities Prepare, issue, and manage invoices and...

  • Billing Specialist

    5 days ago

    Muntinlupa, Philippines ARBEIT INFOTECH INC. Full time

    Work Arrangement Onsite | Shifting Schedule | Filinvest Alabang Muntinlupa Key Responsibilities Invoice Management: Prepare, review, and issue client invoices in alignment with contracts, SLAs, and compliance requirements. Billing Validation: Verify billing data against project records, timesheets, and system reports to ensure accuracy. Dispute Resolution:...

  • Prior Authorization Specialist

    2 weeks ago

    Muntinlupa, Philippines MedCore Solutions Full time

    Prior Authorization Specialist (Multi-Specialty) | Permanent WFH We are looking for an experienced Prior Authorization Specialist with a strong background in Pulmonology, Gastroenterology, and Internal Medicine. The ideal candidate will be responsible for obtaining timely prior authorizations, verifying insurance coverage, and ensuring accurate documentation...

  • Workday Reporting Senior Specialist

    3 weeks ago

    Muntinlupa, Philippines Fresenius Medical Care Full time

    Overview The Workday Reporting Senior Specialist will serve as a subject-matter expert of HCM report development and will build and advance our global HR reporting infrastructure. Under the guidance of the Manager, Workday Reporting Development, the incumbent will play a key role in supporting and developing global reporting solutions to support the...

  • Senior Team Lead

    3 days ago

    Muntinlupa, Philippines Gear Inc Full time

    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 link between operations, quality, training, and client-facing functions. RESPONSIBILITIES Lead, coach, and mentor multiple Team Leads and their AR specialists. Conduct regular...