Medical Biller

1 week ago

Taguig, National Capital Region, Philippines PM Consulting Full time ₱250,000 - ₱500,000 per year

URGENT

We are hiring for an experienced Medical Biller to join our growing U.S. healthcare team. In this role, you will manage the end-to-end Revenue Cycle Management process, ensuring timely and accurate claims submission, payment posting, AR follow-up, and denial management for our U.S. clients.

This is a great opportunity for professionals with a solid background in medical billing and claims to work in a collaborative, high-performance environment.

Key Responsibilities

  • Prepare and submit clean claims (electronic and paper) to payers in compliance with regulations
  • Perform AR follow-up to ensure timely payment from insurance companies
  • Manage denials and appeals, including coordination of mass appeals with payers
  • Reconcile payments, resolve discrepancies, and maintain accurate financial records
  • Generate KPI and month-end reports for finance and management teams
  • Ensure compliance with HIPAA and payer-specific rules

Qualifications

  • Minimum 2 years of experience in U.S. healthcare RCM, with exposure to claims, billing, and AR processes
  • Strong knowledge of denial management and appeals process
  • Familiarity with HIPAA compliance and payer guidelines
  • Excellent communication skills in English (verbal and written)
  • Proficient in MS Office and healthcare billing software
  • Willing to work the night shift

Job Types: Full-time, Permanent

Benefits:

  • Company Christmas gift
  • Company events
  • Flexible schedule
  • Health insurance
  • Life insurance
  • Paid training

Work Location: In person

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