Medical Billing

6 days ago


Quezon City, National Capital Region, Philippines RMLPH Full time

Hybrid - Quezon City 3-5 Yrs Exp Diploma Full-time

Job DescriptionDescription

Medical Biller & Claims Processor RML-PH - Quezon City (Remote)

About Us

RML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape. With a mission to provide accessible, high-quality healthcare services and cutting-edge solutions, RML-PH focuses on holistic patient care and embraces the latest advancements in health technology. Our team is dedicated to providing top-tier customer care, leveraging expertise and technology to exceed expectations. Join us at RML-PH to be part of a dynamic team committed to delivering excellence in healthcare customer service.

Position

We are seeking a highly motivated and detail-oriented individual to join our team as a Medical Billing & Claims Processor. In this role, you will play a critical part in ensuring accurate and timely billing, as well as claims processing and follow-up. You will work closely with insurance companies, doctors/facilities, and internal departments to manage the entire billing and claims lifecycle, from initial submission to follow-up and resolution.

Responsibilities:

  • Compile necessary information, including patient demographics, insurance information, provider details, and procedural codes
  • Analyze, prepare, and submit medical claims to insurance payers through our electronic billing system
  • Assign and enter appropriate CPT and ICD-10 codes on claims
  • Investigate and resolve payment discrepancies, coordinating with other departments when necessary
  • Maintain accurate records of billing and claim activities, ensuring compliance with payer guidelines and company policies
  • Stay up-to-date on billing regulations and implement process improvements
  • Participate in internal meetings and training sessions to stay informed of industry updates
  • Effectively manage patient calls or inquiries related to insurance claims and balances
  • Monitor the status of submitted claims to resolve rejections or delays and resubmit as needed
  • Follow up on unpaid insurance claims by checking insurance portals or contacting insurance customer service

Qualifications:

  • High school diploma or equivalent; additional certification or education in healthcare or a related field is preferred
  • Certification or experience as a medical coder is preferred
  • 2+ years of experience in medical billing, claims processing, or a related field
  • Proficient in medical coding systems and terminology (CPT, ICD-10, HCPCS)
  • Working knowledge of AdvancedMD software is preferred
  • Strong knowledge of insurance billing procedures and payer guidelines (Medicare, Medicaid, private insurance)
  • Experience using electronic medical records (EMR) and billing software
  • Strong attention to detail, with excellent analytical and problem-solving skills
  • Ability to multitask and prioritize in a fast-paced environment
  • Effective communication skills in English, both written and verbal
  • Ability to work independently and collaborate with team members to resolve issues
  • Familiarity with HIPAA regulations and compliance requirements

How to Apply: Interested candidates are encouraged to submit their resumes and a cover letter outlining their qualifications and how they would contribute to RML-PH's success via LinkedIn.

  • Schedule: Monday to Friday, 10:00 PM to 7:00 AM
  • Work Location: Remote (Quezon City, PH)
  • Job Type: Full-time
  • Salary: Php 35,000 to 45,000 per month
  • Contributions to PhilHealth, SSS, and PAG-IBIG
  • Paid leave: Sick, Paternity, Annual, and Public holidays
  • Monetary compensation: 13th-month pay and overtime
  • New hires begin as contractors for the first two months before being reviewed for direct employment

Requirements:

  • WFH Equipment is expected to be provided by the candidate
  • All employees must undergo a background check, and continued employment is dependent on its outcome
  • English proficiency is required

At RML-PH, we care for our team members and their well-being. We are an equal-opportunity employer and value diversity, striving to create an inclusive workplace for all. We encourage candidates of all backgrounds and experiences to apply.

#J-18808-Ljbffr

  • Quezon City, National Capital Region, Philippines Pointwest Full time

    At Pointwest, we are seeking an experienced Medical Billing Specialist to join our team in the Emergency Room. The ideal candidate will possess a strong understanding of CPT, ICD-10, and HCPCS coding, as well as insurance guidelines.ResponsibilitiesUpdate patient medical records in the billing platformPrepare and submit accurate billing data and medical...


  • Quezon City, National Capital Region, Philippines RMLPH Full time

    About RML-PHRML-PH is a dynamic health solutions provider committed to transforming the healthcare landscape through accessible, high-quality services and cutting-edge solutions. We prioritize holistic patient care and leverage technology to deliver exceptional customer experiences.Our team consists of dedicated professionals who strive for excellence in...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    Work Set-up: RemoteSchedule: 9:00 PM – 6:00 AM PHTJob Summary: We are seeking a detail-oriented Medical Billing Specialist to join our team. The successful candidate will be responsible for managing the billing process for our facilities, ensuring accurate coding of patient services, submitting claims to insurance companies, resolving billing...


  • Quezon City, National Capital Region, Philippines RMLPH Full time

    About the RoleWe are seeking a highly motivated and detail-oriented individual to join our team as a Medical Billing & Claims Processor. This role requires a strong understanding of medical billing regulations, as well as excellent analytical and problem-solving skills.Responsibilities:Analyze and prepare medical claims for submission to insurance...

  • Medical Billing

    3 weeks ago


    Quezon City, National Capital Region, Philippines Manpower Core Group Inc. Full time

    Position: Medical BillingLocation: EastwoodWork setup & shift: Onsite | Night shiftWhy join us?You'll have: Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses A Collaborative Spirit: Contribute to a positive...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    Seeking a Medical Billing Specialist - AR & Payment Posting for our client who will provide clerical expertise to ensure all patients receive high-quality, efficient care. We have an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do.What's in it for you?Health...


  • Quezon City, National Capital Region, Philippines RMLPH Full time

    About the JobWe are looking for a highly motivated and organized Insurance Verification Specialist to join our team at RML-PH.This is a full-time, remote position with a competitive salary package.The successful candidate will have a strong understanding of medical insurance processes and billing practices.Key Responsibilities:Review and verify patient...


  • Mandaluyong City, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full time

    Salary: 25,000 PHP- 45,000/ monthJob Description:Accurate Claims Creation: Ensure the preparation of accurate and compliant medical insurance claims for timely submission.Timely Claim Submission: Oversee the submission of claims to insurance companies, ensuring adherence to deadlines to avoid delays in payments.Claim Denial Management: Address claim denials...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    Position Summary:The Medical Billing Specialist – AR/Collection is responsible for researching rejections/denials, correcting/rebilling claims as necessary, and documenting all related account activities. The A/R specialist must possess critical thinking skills and be proactive when working claims to determine the appropriate method to get the claims...


  • Makati City, National Capital Region, Philippines ISTA Solutions Full time

    About Us:ISTA Solutions is a dynamic outsourcing company that prioritizes employee satisfaction and work-life balance. We create a culture focused on long-term success and life-long learning, providing opportunities for growth and development. Our team is comprised of highly skilled professionals who are passionate about healthcare and committed to...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    Position Summary:The Medical Billing Specialist - AR will play a vital role in our financial team with the primary responsibility of handling all aspects of claims management, from investigation to resolution. This involves reviewing and analyzing the status of claims, navigating various online portals, and regularly communicating with payers. The position...


  • Mandaluyong City, National Capital Region, Philippines Penbrothers Full time

    About PenbrothersPenbrothers is an HR & remote talent management partner and one of the fastest growing companies in the Philippines. We provide talented Filipinos with global opportunities in high-growth startups and dynamic companies, from the comfort of their own homes.About the ClientOur client is a venture-backed startup with a mission to establish a...


  • Quezon City, National Capital Region, Philippines Pointwest Full time

    We are looking for a highly skilled Emergency Room Medical Biller to join our team at Pointwest. The successful candidate will be responsible for preparing and submitting accurate billing data and medical claims to insurance companies.Job DescriptionThe Emergency Room Medical Biller will be responsible for:Updating patient medical records in the billing...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    **Job Overview**Sourcefit DR is seeking a detail-oriented Medical Claims Specialist to manage the billing process for our facilities.The successful candidate will be responsible for ensuring accurate coding of patient services, submitting claims to insurance companies, and resolving billing discrepancies.This role requires expertise in substance abuse...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    Job OverviewThe Medical Billing Specialist – AR/Collection role is a critical component of our revenue cycle process. We are seeking an experienced professional to join our team and contribute to the accurate and timely billing of medical claims.


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    Job SummaryThe Medical Billing Specialist will play a vital role in our financial team, responsible for handling all aspects of claims management. This involves reviewing and analyzing claim status, navigating online portals, and communicating with payers.This position requires a proactive approach to investigating and resolving claim denials, as well as...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    About the JobWe are a dynamic company, Sourcefit DR, that requires a skilled Medical Billing Specialist – AR/Collection to research rejections/denials, correct/rebill claims as necessary, and document all related account activities. The successful candidate must possess strong analytical skills and be proactive in resolving claim issues.


  • Mandaluyong City, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full time

    Job DescriptionKey Responsibilities:Accurate Claims Creation: Prepare and submit claims in compliance with insurance regulations.Timely Claim Submission: Ensure claims are submitted within deadlines to avoid delays in payments.Claim Denial Management: Address denials through resubmissions, appeal letters, and resolutions.Denial Mitigation Strategies: Develop...

  • Medical Liaison

    21 hours ago


    Makati City, National Capital Region, Philippines Local Employment Direct Hire for Professional Full time

    We are seeking a highly motivated and detail-oriented Nurse to join our team as a Medical Liaison. In this role, you will be responsible for communicating with clients and companies to ensure that all medical information is up-to-date and accurate.Key Responsibilities:Communicate with clients and companies to ensure that all medical information is up-to-date...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    Key ResponsibilitiesMonitor Claim Status: Ensure prompt and accurate payment by tracking the status of medical claims.Resolve Rejections/Denials: Research and implement measures to prevent future occurrences.Document Account Activities: Maintain accurate and up-to-date records of account activities.Collections Management: Post adjustments and manage...