Medical Biller

5 days ago

Manila, National Capital Region, Philippines Unlock HBA Full time ₱450,000 - ₱750,000 per year

This is a remote position.

Virtual Rockstar is hiring a Medical Biller on behalf of a long-standing non-profit pediatric therapy provider based in Kansas City, Missouri.

The Medical Biller will take ownership of the full billing cycle for the practice. This includes insurance verification, authorizations, charge entry, claim submission, payment posting, accounts receivable follow-up, denial management, patient collections, and reporting.

The role is well-suited for someone who is detail-oriented, proactive, and highly communicative, with a strong understanding of medical billing best practices and compliance standards.

About Our Client:

The organization has a 70+ year history of serving children with visual impairments, including those with multiple disabilities, and their families. The mission is clear: to prepare children with visual impairments to reach their highest potential in the sighted world.

Their culture emphasizes compassion, growth mindset, belonging, and commitment to excellence. Staff embody a strong sense of service, teamwork, and adaptability, with a focus on continuously evolving to meet the needs of families and the community.

Responsibilities

Full-Cycle Medical Billing

  • Collect and enter patient demographics, insurance, and referral details into the EMR (Practice Perfect).

  • Verify insurance eligibility and benefits (primary and secondary).

  • Confirm and obtain prior authorizations as needed.

  • Enter charges, ensuring accuracy of CPT, HCPCS, and ICD-10 codes.

  • Prepare and submit electronic and paper claims to payers, ensuring compliance with regulations and deadlines.

  • Monitor claim batches for acceptance or rejection.

Payment Posting & Accounts Receivable

  • Post insurance and patient payments; reconcile with remittance advice (ERA/EOB).

  • Apply contractual adjustments; identify and follow up on underpayments.

  • Track aging reports; follow up promptly on unpaid or denied claims.

  • Contact payers for status inquiries and resubmit corrected claims as needed.

Denial Management & Corrections

  • Research and resolve claim denials or discrepancies.

  • Correct and resubmit claims with missing or inaccurate data.

  • File appeals when appropriate and track denial trends for reporting.

Patient Billing & Collections

  • Generate and send patient statements.

  • Respond to billing inquiries and explain balances.

  • Set up payment plans; escalate overdue accounts per policy.

Compliance & Reporting

  • Maintain HIPAA compliance at all times.

  • Stay current with payer rules, CMS, and regulatory updates.

  • Generate and present reports on collections, AR, denials, and billing productivity.

  • Collaborate with leadership to improve revenue cycle efficiency.

Requirements

  • Proven experience in medical billing with full-cycle billing responsibilities.

  • Knowledge of insurance verification, authorizations, and denial management.

  • Proficiency with Practice Perfect (EMR) and Microsoft Office Suite (Excel, Word, Outlook, Teams) preferred.

  • Strong communication and organizational skills.

  • Ability to work independently, prioritize tasks, and meet deadlines.

  • Resourceful, detail-oriented, and comfortable with problem-solving.

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.

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