Medical Billing Specialist

1 day ago

Ortigas Metro Manila, Philippines Connext Global Solutions Inc Full time ₱250,000 - ₱500,000 per year

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Medical Billing Specialist who will be working with Connext's Client in the United States of America.

What's in it for you?

  • Competitive compensation
  • Perfect Attendance Bonus
  • Life insurance
  • HMO Insurance
  • Great company culture
  • 25% Night Differential
  • Annual Increase

What is the job?

The Medical Billing Specialist is responsible for the timely submission of technical or professional medical claims to insurance companies.

Job Description

  • Verify patient, billing, and claim details using various hospital and physician systems to ensure accuracy.
  • Perform compliant billing functions (primary, secondary, tertiary, rebills) across electronic, paper, and portal platforms.
  • Edit and submit claims per payer-specific compliance requirements, addressing issues and missing information as needed.
  • Communicate effectively with management, payers, and team members; respond promptly to emails and calls.
  • Update patient demographics, insurance info, and track claims using control numbers while following prioritization and documentation protocols.
  • Maintain patient confidentiality and uphold hospital policies, while actively participating in training and supporting departmental goals.

Required Qualifications

  • At least 1 year of healthcare billing experience, ideally in a hospital or payer setting.
  • Skilled in correcting billing errors, resubmitting claims, and resolving denials/underpayments.
  • Familiar with EOBs, UB04/1500 forms, and medical coding (ICD-10, CPT, HCPCS, NCCI).
  • Able to interpret payer contracts and coordinate third-party payer processes.
  • Proficient in EMRs, billing systems, and tools like Outlook, Excel, and Internet Explorer.
  • Strong communication, teamwork, and performance-driven work ethic.

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