Medical Billing Specialist

4 days ago

Manila, National Capital Region, Philippines Unlock HBA Full time $60,000 - $80,000 per year

This is a remote position.

Virtual Rockstar is seeking a Medical Billing Specialist to support one of our pediatric therapy partners based in Nebraska.

The Medical Billing Specialist will play a key role in ensuring accurate billing, efficient claims management, and effective authorization processes for the practice. This role requires strong attention to detail, knowledge of billing workflows, and the ability to track and analyze key performance indicators (KPIs) to support leadership decisions.

You will work closely with the existing billing team and practice leadership to manage claims, resolve denials, and maintain compliance with payer requirements.

About Our Client 

This therapy team's mission is empowering children, families, and the community through high-quality, family-centered services. Their culture emphasizes teamwork, accountability, and data-driven decision-making, with a strong focus on excellent patient outcomes and operational efficiency.

Responsibilities

Billing & Claims Management

  • Process and submit claims to insurance providers.

  • Follow up on unpaid claims and track resolution progress.

  • Post payments to patient accounts and reconcile discrepancies.

  • Review and appeal denied claims, ensuring accurate coding and documentation.

  • Maintain compliance with billing regulations and payer requirements.

Authorizations & Insurance Management

  • Verify insurance coverage for patients.

  • Obtain pre-authorizations for therapy services.

  • Update patient files with authorization details.

  • Track and manage authorizations to ensure timely renewals and service continuity.

  • Communicate with payers to clarify coverage details and resolve issues.

Reporting & KPIs

  • Run aging reports weekly, highlighting high-dollar or >60-day claims for follow-up.

  • Monitor denial management tracker and categorize denial reasons by payer.

  • Compile and present monthly billing reports for leadership.

  • Track and analyze KPIs related to billing efficiency, collections, and authorization turnaround times.

  • Provide insights and trends to help improve systems and workflows.

Requirements

  • Proven experience as a Medical Biller, Billing Specialist, or similar role in a healthcare setting.

  • Familiarity with pediatric or therapy-based billing preferred.

  • Strong knowledge of insurance verification, authorization processes, and claims management.

  • Experience with EMR and billing systems (practice uses Ensora Health, formerly Fusion).

  • Proficiency in Microsoft Office 365, Excel, and Google Sheets for reporting.

  • Excellent attention to detail, accuracy, and organizational skills.

  • Strong communication skills for interacting with both internal teams and external payers.

  • Ability to analyze data and present meaningful insights through KPI tracking.

Benefits

  • Competitive salary commensurate with experience.

  • Opportunities for professional development and growth.

  • Work in a dynamic and supportive team environment.

  • Make a meaningful impact by helping to build and strengthen families in the Philippines. 

  • Medical Billing Specialist

    4 days ago

    Manila, National Capital Region, Philippines WHR Global Consulting Full time ₱324,000 per year

    WHR Global Consulting is hiring a Full time Medical Billing Specialist role in Taguig, NCR. Apply now to be part of our team.Job summary:Looking for candidates available to work:Monday: EveningTuesday: EveningWednesday: EveningThursday: EveningFriday: Evening1 year of relevant work experience required for this roleExpected salary: ₱27,000 per monthPosition...

  • Medical Billing

    7 days ago

    Manila, National Capital Region, Philippines RMLPH Full time ₱420,000 - ₱540,000 per year

    Medical Biller & Claims ProcessorRML-PH - Quezon City (Remote)Please note: Submitting multiple applications for the same position may delay your review of your candidacy. We encourage you to apply once and ensure all information is complete and accurate.About UsRML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to...

  • Medical Billing

    4 days ago

    Manila, National Capital Region, Philippines Preparation One Sourcing Hub Inc. Full time $45,000 - $60,000 per year

    Qualifications:Bachelor's degree in any field.Minimum of 5 years' experience in medical billing.Strong understanding of the Revenue Cycle Management (RCM) process (charge posting, payment posting, AR follow-up).Knowledge of HIPAA regulations and compliance standards.Proficiency in Practice Management Software (PMS).Familiarity with insurance guidelines, EOB,...

  • Medical Billing Specialist

    4 days ago

    Manila, National Capital Region, Philippines Ringpfeil Advanced Dermatology Full time ₱114,400 - ₱143,200 per year

    An American dermatology practice is looking for two employees in the Philippines to join our American billing team. This is a long-term position (hopefully multi-year) in which your responsibilities will grow over time. To be a strong candidate you need to:Be fluent in English (Reading, writing, speaking)Be willing to work 8 AM-5 PM Eastern Standard TimeHave...

  • Medical Billing Manager

    4 days ago

    Manila, National Capital Region, Philippines Preparation One Sourcing Hub Inc. Full time ₱1,200,000 - ₱3,600,000 per year

    Qualifications:Bachelor's degree in Business Administration, Healthcare Administration, or a related field.At least 7 years of experience in medical billing, with 3–5 years in a supervisory or managerial capacity.In-depth knowledge of the Revenue Cycle Management (RCM) process, including charge entry, payment posting, AR follow-up, and denial...

  • WFH Medical Billing

    1 week ago

    Manila, National Capital Region, Philippines Brunt Work Full time ₱300,000 - ₱450,000 per year

    This is a remote position.Night Shift Schedule:Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)Description:We are seeking a meticulous and dedicated Medical Biller to join our healthcare team. The successful candidate will be responsible for processing patient...

  • Medical Billing Supervisor

    4 days ago

    Manila, National Capital Region, Philippines Innovative International Full time ₱900,000 - ₱1,200,000 per year

    Qualifications:Bachelor's degree in any field.Minimum of 5 years' experience in medical billing.Strong understanding of the Revenue Cycle Management (RCM) process (charge posting, payment posting, AR follow-up).Knowledge of HIPAA regulations and compliance standards.Proficiency in Practice Management Software (PMS).Familiarity with insurance guidelines, EOB,...

  • Medical Coder

    7 days ago

    Manila, National Capital Region, Philippines STANG Medical Billing & Coding Services, Inc. Full time ₱300,000 - ₱600,000 per year

    Medical Coder:Medical allied. Must hold a valid CPC or CRC certification. Experience in Risk Adjustment/HCCJob Type: Full-timeBenefits:Work from homeEducation:Bachelor's (Preferred)Experience:Risk Adjustment : 2 years (Preferred)License/Certification:CPC CRC (Preferred)Location:Manila (Preferred)Work Location: Remote

  • Medical Billing CSR

    2 weeks ago

    Manila, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full time ₱900,000 - ₱1,200,000 per year

    Job DescriptionThe Patient Billing Center Coordinator is a key member of the administrative team, supporting the Revenue Cycle Department and handling calls and tasks that are critical to the daily operationsResponsibilities:· In addition to the above, the Billing Coordinator is expected to:· Assist patients and administrative staff by verifying benefits,...

  • A/R Collections Expert – Medical Billing

    4 days ago

    Manila, National Capital Region, Philippines magentIQ Full time ₱900,000 - ₱1,200,000 per year

    **A/R Collections Expert – Medical Billing (Speech, Physical, and Occupational Therapy)Location: Remote – PhilippinesEmployment Type: Full-Time (Mid Shift)Role Summary**The A/R Collections Expert will be responsible for ensuring timely recovery of outstanding claims in U.S. medical billing, with a focus on Speech, Occupational, and Physical Therapy...