Medical Billing Specialist
2 days ago
I'm a Medical Director overseeing a network of outpatient clinics and specialty healthcare services, committed to delivering high-quality, patient-centered care. Our services span primary care, behavioral health, and specialty treatments. As we continue to grow, so does the complexity of our billing operations.
We are seeking a highly skilled Senior Medical Biller who can take ownership of our revenue cycle, streamline billing processes, reduce denials, and ensure compliance with evolving payer requirements. This is a critical role that supports the financial backbone of our multi-site operation.
Position Overview
The Senior Medical Biller will manage end-to-end billing functions across all clinical services. This includes claim submission, denial management, AR follow-up, coding verification, and payer communication. You'll work closely with clinicians, front desk staff, and administrative leadership to ensure accurate, timely billing and optimal reimbursement.
Key Responsibilities
Process and submit insurance claims (electronic and paper) accurately and timely for multiple specialties and service lines.
Review and verify medical coding (CPT, ICD-10, HCPCS) for accuracy and compliance.
Monitor claim rejections and denials; perform in-depth root cause analysis and pursue appeals.
Conduct ongoing AR follow-up to ensure timely payments from payers and patients.
Collaborate with clinical and administrative staff to resolve billing discrepancies.
Track key revenue cycle KPIs and prepare monthly reporting for leadership.
Stay current with federal, state, and payer-specific billing guidelines and regulations.
Recommend and implement process improvements in billing workflow and compliance.
Qualifications
Minimum 2 years of medical billing experience
Strong knowledge of coding systems (CPT, ICD-10, HCPCS) and billing guidelines for Medicare, Medicaid, and commercial insurance.
Experience with multiple EHR/billing platforms (e.g., Kareo, Athenahealth, AdvancedMD, or similar).
Familiarity with billing for multiple service lines such as primary care, behavioral health, and specialty services.
Strong analytical, organizational, and communication skills.
Certified Professional Biller (CPB) or similar credential preferred, but not required.
What We Offer
Competitive salary based on experience
Flexible work environment (WFH)
HMO after 3 months
PTO and paid holidays
Supportive leadership and opportunities for growth in a fast-scaling healthcare organization
Job Type: Full-time
Pay: Php65,000.00 per month
Benefits:
- Flexible schedule
- Paid training
- Work from home
Application Question(s):
Work Location: Remote
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