Medical Billing Specialist
7 days ago
The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end billing tasks to optimize revenue for healthcare practices. Key Responsibilities: End-to-End Revenue Cycle Management (RCM): Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed. Accounts Receivable (A/R) Collections: Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue. Claims Denial Investigation and Resolution: Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments. Claims Resubmission and Correction: Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement. Documentation and Compliance: Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA. Requirements: Proven experience in medical billing with exposure to RCM and A/R processes. Experience with claim denial management and collections processes. Proficiency in English communication, both written and verbal. Proficient in virtual office tools, EHR systems, and communication platforms. Strong customer service and critical thinking skills. Understanding of HIPAA regulations and the importance of patient data confidentiality. Strong problem-solving skills and ability to work with minimal supervision. Willingness to work in US time zones (PST, EST, CST). High school diploma or equivalent. System and Work Setup Requirements: Internet : Minimum speed of 25 Mbps or higher, with a reliable backup connection available in case of power outages or service provider issues. Processor : Intel Core i5 7th Generation or higher (or equivalent). Memory : 8 GB RAM. Storage : 256 GB SSD or HDD with at least 50% free space available. Webcam : 720p resolution or higher. Operating System : Windows 10 or later (or equivalent). Audio Equipment : Noise-canceling earphones or headset. Workspace : A designated, quiet, and organized workspace free from distractions to ensure productivity and focus. Benefits: Permanent remote work setup Competitive starting rate paid in USD Internet Allowance HMO insurance (PH) Retirement Fund Paid US holidays Paid Vacation and Sick Leaves #J-18808-Ljbffr
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Medical AR/Follow-up Specialist-Onsite
2 weeks 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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Senior Medical Billing Specialist
8 hours ago
Angeles City, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱40,000 - ₱80,000 per yearJoin Our Team as a Senior Medical Billing SpecialistThe Medical Billing Specialist is responsible for ensuring accurate insurance verification, payment posting, and billing support for the ophthalmology practice. This role ensures accuracy in billing processes, compliance with HIPAA standards, and contributes to the efficiency of the revenue cycle. Over...
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Medical Payment Posting Specialist-Onsite
2 weeks ago
Angeles City, Central Luzon, Philippines Physicians Billing Solutions PI Full time ₱240,000 - ₱360,000 per yearThe Medical Billing Specialist-Payment Posting is responsible for ensuring the timely and accurate payment of medical services rendered to our client's patients. This includes charge entry, collecting payments from insurance companies, and providing exceptional customer service.Qualifications & experienceGood English communication skills both verbal and...
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Angeles City, Central Luzon, Philippines Physicians Billing Solutions PI Full time ₱200,000 - ₱300,000 per yearThe Insurance Verification and Authorization Specialist is responsible for verifying patient insurance coverage, obtaining necessary authorizations and pre-certifications for medical procedures and services, and ensuring accurate and timely communication with healthcare providers, patients, and insurance companies. This role plays a critical part in...
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Billing Manager
4 weeks ago
Angeles, Philippines MCI Full timeJOB TYPE Full-Time POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry. We are seeking a Billing Manager who will be...
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Customer Service
3 weeks ago
Angeles, Philippines Remote VA Full timeOverview Location: Remote (Must be available to work 9am - 5pm EST) About Us: We are a dynamic organization committed to excellence in customer service and operational efficiency. We’re looking for a dedicated Customer Service & Billing Specialist to join our team and ensure our billing processes run smoothly while providing exceptional support to our...
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Billing & Accounts Receivable Specialist
4 weeks ago
Angeles, Philippines GPC Philippines Corporation Full timeOverview GPC Philippines Corporation is currently seeking a Billing & Accounts Receivable Specialist . This position will work from 12:00 AM to 9:00 AM PHT and applies only to Philippine-based legal residents and citizens. Job Description The Billing & Accounts Receivable Specialist will play a key role in managing billing operations, accounts receivable,...
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Billing Manager
3 weeks ago
Angeles, Philippines MCI Full timeAngeles City, PHFull-TimeMCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry.We are seeking a Billing Manager who will be responsible...
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Angeles City, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 per yearJob SummaryThe Dental Billing Specialist is responsible for accurately and efficiently handling the billing and insurance-related tasks within a dental practice. This includes reviewing patient bills, preparing and submitting claims, following up on unpaid claims, verifying insurance coverage, and performing data entry.Responsibilities• Review patient...
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Angeles, Philippines Connext Full timeOverview The Dental Billing Specialist is responsible for accurately and efficiently handling the billing and insurance-related tasks within a dental practice. This includes reviewing patient bills, preparing and submitting claims, following up on unpaid claims, verifying insurance coverage, and performing data entry. Responsibilities Review patient bills...
