Medical Billing Specialist
4 weeks ago
Medical Billing Specialist - Accounts Receivable & Collections (Medicaid - US Healthcare) Join to apply for the Medical Billing Specialist - Accounts Receivable & Collections (Medicaid - US Healthcare) role at Hyremote Salary Range: $850 to $1,200 per month ($5–7/hr) 100% Permanent WFH - Full-Time - working U.S. EST hours Join a long-term care provider committed to delivering high-quality care to our residents. We're seeking an experienced Collections Specialist - Medical Biller specializing in Medicaid collections and denial management , playing a vital role in reducing outstanding A/R and improving claim recovery performance. Responsibilities: Review aging reports to identify outstanding claims from Medicaid. Investigate and resolve denials by pinpointing root causes such as missing authorizations, eligibility issues, or incorrect documentation and move them forward efficiently. Contact insurance providers and navigate payer-specific portals to verify information, obtain denial reasons, locate authorizations, and track claim status. Prepare and submit appeals, ensuring compliance with payer timelines and policies, and escalate complex cases to supervisors or payer representatives when needed. Collaborate with facility billing teams to request or correct documentation affecting claim status. Track and document progress on each case with detailed notes for accurate follow-up and reporting. Meet internal KPIs and performance standards to ensure accountability. Who You\'ll Work With: Be part of a dedicated healthcare revenue cycle team focused on maximizing claim recovery through smart, strategic follow-up. You’ll collaborate with other collectors, billing teams, and supervisors to overcome challenges and keep accounts moving forward. Requirements: Experienced: Minimum 2 years of U.S. Medicaid medical billing or collections experience with a strong knowledge of the billing process, ICD-10, CPT/HCPCS codes, denial codes, and appeals. RCM Background: Strong RCM/medical billing background required with success in claim recovery. Analytical: Analyze EOBs/EOPs and resolve discrepancies accurately. Problem Solver: Can jump in mid-process, understand context, and push claims forward despite vague denials. Organized: Keeps clean records and follows through, even on old claims. Confident Communicator: Works well with payer reps and knows when to escalate. Why Join Us? Impact: Play a critical role in helping us recover substantial outstanding revenue and improve our operational success across a growing network. Culture: Join a highly focused team that values persistence, strategy, and problem-solving. Enjoy preset salary growth and weekly salary payments. 100% work-from-home flexibility. Schedule: Mon - Fri 9:00 AM - 5:00 PM EST Employment Type: Full-time How to Apply: Click "Apply" to start your application. Come and make a difference in healthcare collections We are an equal opportunity employer and value diversity at our company. #J-18808-Ljbffr
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Onsite Medical Billing Specialist
4 days ago
Angeles City, Central Luzon, Philippines Physicians Billing Solutions PI Full time ₱240,000 - ₱360,000 per yearSupport various back-office functions efficiently. Detail-oriented with excellent organizational skills. Prior CSR/BPO experience is required.Qualifications & experienceGood English communication skills both verbal and writtenMust have at least 1 year of BPO/CSR working experience or related to Medical BillingMust be willing to work on shifting schedule...
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Medical Billing Specialist
1 week ago
Makati City, National Capital Region, Philippines Medical Supply Inc. Full time ₱200,000 - ₱240,000 per yearWe are hiring several Medical Billers to join our team in Makati City A Medical Biller is responsible for submitting medical claims to insurance companies and payers.Responsibilities:Input new claims, determine eligibility for claims processing, processing payments through both automated and manual information systems, conduct billing research and respond to...
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Medical Billing Specialist
1 week ago
Quezon City, National Capital Region, Philippines Sourcefit Full time ₱600,000 - ₱800,000 per yearPosition Summary:The Medical Billing Specialist - Collection is a key role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. The Medical Biller is tasked with the critical responsibility of posting...
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Medical Billing Specialist
7 days ago
Eastwood Quezon City, Philippines Sourcefit Full time ₱550,000 - ₱850,000 per yearPosition Summary: The Medical Billing Specialist - Collection is a key role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. The Medical Biller is tasked with the critical responsibility of posting...
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Medical Billing Specialist
2 weeks ago
Quezon City, National Capital Region, Philippines Sourcefit Full time ₱900,000 - ₱1,200,000 per yearPosition Summary:The Medical Billing Specialist - Collection is a key role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. The Medical Biller is tasked with the critical responsibility of posting...
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Medical Billing Specialist
7 days ago
Quezon City, National Capital Region, Philippines Sourcefit Full time ₱250,000 - ₱600,000 per yearPosition Summary:We are actively seeking an experienced and motivated Medical Billing Specialist to join our team. The successful candidate will play a crucial role in managing the billing process from claim submission to collection. The tasks include verification of benefits, clean claim submission, denial management, claim appeals, and resolving...
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Medical AR/Follow-up Specialist-Onsite
1 week ago
Angeles City, Central Luzon, Philippines Physicians Billing Solutions PI Full time ₱240,000 - ₱360,000 per yearThe Medical AR / Follow-Up Specialist is responsible for managing and following up on outstanding insurance claims to ensure timely reimbursement. This role requires strong knowledge of healthcare billing and insurance processes, as well as the ability to resolve claim denials and payment discrepancies efficiently.Qualifications & experienceGood English...
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Medical Billing and Collections Specialist
2 weeks ago
Davao City, Davao, Philippines Talent Outsourcing Channel Solutions Full time ₱900,000 - ₱1,200,000 per yearAbout the roleTalent Outsourcing Channel Solutions is seeking a talented Medical Billing and Collections Specialist to join our dynamic team in Davao City, Davao del Sur. This is a full-time position, and you will play a crucial role in managing the billing and collections processes for our diverse healthcare clients.What you'll be doingProcess medical...
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Insurance Verification Specialist
35 minutes ago
Iloilo City, Western Visayas, Philippines Boji Medical Billing Full time ₱360,000 - ₱432,000 per yearInsurance Verification Specialist (BPO) — Dental ServicesRemote — Philippines Full-Time, Individual ContributorJob SummaryHenry Schein One is seeking a detail-oriented Insurance Verification Specialist to joinour remote Business Process Outsourcing (BPO) team in the Philippines. You will contactU.S. dental insurance payers via phone to obtain accurate...
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Medical Billing Specialist AR
7 days ago
Quezon City, National Capital Region, Philippines Sourcefit Full time ₱40,000 - ₱80,000 per yearPosition Summary:We are in search of a highly qualified and experienced Medical Billing Specialist – Accounts Receivable to join our esteemed dermatology clinic. The ideal candidate will possess a minimum of 2 years of hands-on experience in A/R management, with a profound understanding of medical billing and coding procedures. While holding a CPC...
