Senior Medical Billing Specialist

4 hours ago


Angeles City, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱40,000 - ₱80,000 per year

Join Our Team as a Senior Medical Billing Specialist

The Medical Billing Specialist is responsible for ensuring accurate insurance verification, payment posting, and billing support for the ophthalmology practice. This role ensures accuracy in billing processes, compliance with HIPAA standards, and contributes to the efficiency of the revenue cycle. Over time, responsibilities may expand to include patient registration and other billing functions.

Key Responsibilities:

  • Verify insurance eligibility for 600 patients monthly (150 weekly), typically 1–2 weeks before appointments.
  • Confirm coverage, benefits, and co-pays, and flag discrepancies for follow-up.
  • Complete eligibility checks promptly, including urgent requests within 1–2 days.
  • Maintain detailed logs of eligibility checks for internal review.
  • Post insurance and patient payments in the Compulink Advanced system.
  • Review remittances and posted payments for accuracy and reconcile balances.
  • Identify and resolve variances, denials, or underpayments; escalate cases requiring rebilling.
  • Coordinate with the in-house billing team for corrected claim submissions.
  • Update patient demographic and insurance information as needed.
  • Participate in training through recorded workflows, email, and calls.
  • Collaborate with billing and operations teams on questions and escalations.
  • Ensure HIPAA compliance at all times.

Qualifications:

  • Experienced in insurance eligibility, payment posting, and reconciliations.
  • Skilled in managing denied or underpaid claims.
  • Detail-oriented, persistent, and proactive in resolving discrepancies.
  • Effective in remote work while maintaining HIPAA compliance.
  • Strong written and verbal communication skills in English.

Why Connext?

  • Competitive Compensation
  • Perfect Attendance Bonus
  • Company-Provided Equipment
  • 25% Night Differential Pay
  • Life and HMO Insurance Coverage
  • 20 Leave Credits
  • Good Company Culture


  • Angeles City, Central Luzon, Philippines Physicians Billing Solutions PI Full time ₱240,000 - ₱360,000 per year

    Support various back-office functions efficiently. Detail-oriented with excellent organizational skills. Prior CSR/BPO experience is required.Qualifications & experienceGood English communication skills both verbal and writtenMust have at least 1 year of BPO/CSR working experience or related to Medical BillingMust be willing to work on shifting schedule...


  • Angeles City, Central Luzon, Philippines Physicians Billing Solutions PI Full time ₱240,000 - ₱360,000 per year

    The Medical Billing Specialist-Payment Posting is responsible for ensuring the timely and accurate payment of medical services rendered to our client's patients. This includes charge entry, collecting payments from insurance companies, and providing exceptional customer service.Qualifications & experienceGood English communication skills both verbal and...


  • Angeles City, Central Luzon, Philippines California Rehabilitation Institute Full time $80,000 - $115,000

    OverviewCalifornia Institute for Rehabilitation*A partnership with UCLA, Cedars Sinai, and Select Medical*Los Angeles, CAClinical Assessment Specialist (RN, PT, OT, SLP)Salary range of $80,000 to $115,000/year, based on experienceMonday - Friday, 8am - 5pmThe Clinical Assessment Specialist is a critical member of our hospital business development team, and...

  • Billing Specialist

    2 hours ago


    Cebu City, Central Visayas, Philippines People Matter PH Full time ₱300,000 - ₱360,000 per year

    As a Billing Specialist, you will be responsible for managing end-to-end billing processes, ensuring accuracy, timeliness, and compliance with company policies. You will also handle invoice preparation, billing adjustments, account reconciliations, and payment tracking. Lastly, you will coordinate with internal teams and clients to resolve billing...


  • Angeles City, Central Luzon, Philippines LogiScale Inc. Full time ₱60,000 - ₱120,000 per year

    The Verification Specialist ensures the accuracy of patient demographic and insurance information to support efficient and compliant physical therapy services. This role involves regular communication with internal teams and patients, verifying insurance benefits, and ensuring HIPAA compliance. The position is key to maintaining smooth administrative...


  • Angeles City, Central Luzon, Philippines Clark Outsourcing Full time ₱350,000 - ₱550,000 per year

    Position Title: Credentialing Specialist (Medical Operations Assistant)Schedule: 8:00 PM to 5:00 AM PH TimeJob Location: Clark Outsourcing - Building 35 Philexcel Business Park, Clark, PampangaQuick Rundown:We are looking for a highly detail-oriented Virtual Medical Operations Assistant to support administrative functions in a fast-paced, lean U.S.-based...


  • Cebu City, Central Visayas, Philippines HirebizMed Full time ₱300,000 - ₱500,000 per year

    Company DescriptionHirebizMed is a leader in providing highly skilled Medical Virtual Assistants to healthcare professionals. We specialize in helping medical practitioners reduce their administrative workload, allowing them to focus on delivering high-quality patient care. Our services include appointment setting, insurance verifications, medical record...


  • Angeles City, Central Luzon, Philippines BMG Outsourcing Inc. Full time ₱55,000 - ₱80,000 per year

    Position: Senior Recruitment Specialist (Up to ₱55K)Schedule: Monday to Friday, 7 AM – 4 PM (PH Time)Work setup: HybridStart and build your career with BMG Outsourcing – one of the well-respected Australian-owned Outsourcing Company with office in Clark and Sydney, providing high quality services to clients and promising career to its employees.We are...


  • Cebu City, Central Visayas, Philippines People Matter PH Full time ₱300,000 - ₱360,000 per year

    Billing Specialist (Customer Service Representative)Responsible for handling customer inquiries related to billing, payments, and account discrepancies. Ensures accurate invoice processing, payment posting, and account reconciliation. Provides excellent customer service by resolving billing issues promptly and professionally, coordinating with internal teams...


  • Cebu City, Central Visayas, Philippines MedSpecialized, Inc. Full time ₱240,000 - ₱348,000 per year

    MedSpecialized, Inc. is looking for a Billing and Collections Specialist General Description: A Billing and Collections Specialist is responsible for managing the invoicing and payment collection processes within an organization. This role involves generating accurate bills for customers or clients, ensuring timely and accurate recording of payments, and...