Medical Billing Specialist

2 weeks ago

Manila, National Capital Region, Philippines DrHouse, Inc. Full time ₱40,000 - ₱80,000 per year

About DrHouse


DrHouse is a fast-growing telehealth company redefining how people access care. We connect patients with licensed physicians for quick, convenient, and high-quality virtual visits, and we're expanding rapidly.
We're looking for a Medical Billing Specialist who is detail-oriented, proactive, and eager to grow within a dynamic healthcare organization. You'll play a key role in ensuring the accuracy, efficiency, and compliance of our revenue cycle operations. What You'll Do
Claims Management & Payment Posting

  • Monitor and follow up on outstanding insurance claims.
  • Submit required documentation for claim processing.
  • Communicate with payers to resolve delays or address denied claims.
  • Handle insurance-related inquiries promptly and professionally.
  • Investigate and resolve rejections, denials, and unpaid accounts; report trends to management.
  • Accurately post insurance and patient payments.
  • Manage accounts receivable to ensure timely reimbursement.
  • Document account activity and maintain thorough, organized notes.
  • Navigate multiple billing systems and payer portals efficiently.
  • Maintain a solid understanding of revenue cycle metrics and workflows.
  • Collaborate with cross-functional teams to meet performance goals.
  • Support special projects and assist with other tasks as needed.
  • Process credit balances by issuing refunds or adjustments as appropriate.

Compliance & Documentation

  • Ensure adherence to federal, state, and internal billing regulations.
  • Maintain accurate records in compliance with HIPAA and confidentiality standards.

Collaboration & Continuous Improvement

  • Report discrepancies, admission errors, and coding issues to relevant teams.
  • Contribute to team initiatives and process improvement efforts.

Preferred Experience

  • Minimum 5 years of medical billing experience in the U.S. healthcare market.
  • Strong understanding of U.S. insurance payers and reimbursement workflows.
  • Familiarity with medical billing software and payer portals.
  • Experience with Claim MD or similar platforms is a plus.

What We're Looking For

  • Strong attention to detail and problem-solving skills.
  • Excellent communication and follow-up abilities.
  • A proactive, organized approach to managing multiple priorities.
  • Desire to grow and make an impact in a fast-paced environment.

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