Medical Billing Specialist

3 days ago


Quezon City, National Capital Region, Philippines Sourcefit Full time ₱900,000 - ₱1,200,000 per year

Position Summary:

The Medical Billing Specialist - Collection is a key role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. The Medical Biller is tasked with the critical responsibility of posting adjustments and managing collections for a diverse range of payers, including Medicare, Medicaid, Medicaid Managed Care, commercial insurance, and Workers' Compensation. The role requires a deep understanding of various eligibility requirements and payment methodologies, as well as a keen ability to record contractual adjustments in compliance with government regulations and payer contracts.

Job Details:

  • Medical Billing Specialist - Collection
  • Permanent work from home
  • Monday to Friday | 10:00 PM to 7:00 AM Manila Time
  • *Following US Holidays

Responsibilities:

  • Perform verification of eligibility and benefits to ensure accurate patient coverage.
  • Review and submit claims in a timely and compliant manner.
  • Obtain prior authorizations to support smooth claim approvals.
  • Monitor the status of medical claims and conduct A/R follow-up to ensure prompt and accurate payment.
  • Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
  • Generate and submit patient statements (no patient interaction).
  • Document all account activities accurately and in a timely manner.
  • Post manual payments, apply adjustments, and manage collections from various types of payers.
  • Understand and apply Medicare, Medicaid, and commercial insurance eligibility requirements and payment methodologies.
  • Correctly record contractual adjustments based on payer contracts and government regulations.
  • Exhibit proficiency with billing systems and leverage all functionality to ensure the most efficient processing of claims.
  • Maintain up-to-date knowledge of changes in billing and coding guidelines, payer contracts, and government regulations.
  • Collaborate with team members and providers, fostering a positive and productive work environment.

Qualifications:

  • At least 2 years of strong background in end-to-end revenue cycle processes, including eligibility and benefits verification, charge review, claims submission, AR follow-up and denial management, collections, prior authorizations, payment posting, and handling medical records requests, is required.
  • Experience in DME and using Apero is preferred.
  • Candidates must demonstrate an ability to work collaboratively with team members and healthcare providers.
  • Candidates must be able to function in a fast-paced work environment and handle occasional periods of above-average pressure.
  • Excellent customer service skills are necessary, as the role involves interacting with various stakeholders, including patients, insurance companies, and healthcare providers.


  • Quezon City, National Capital Region, Philippines Sourcefit Full time

    Position SummaryThe Medical Billing Specialist - Collection is a key role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. The Medical Biller is tasked with the critical responsibility of posting...


  • Quezon City, National Capital Region, Philippines Sourcefit Full time

    Position Summary:We are seeking a Medical Billing Specialist with hands-on experience using AdvancedMD. The ideal candidate will have a solid understanding of end-to-end revenue cycle processes, a keen eye for detail, and the ability to collaborate effectively with team members, providers, and payers.Job Details:Medical Billing SpecialistPermanent work from...


  • Quezon City, National Capital Region, Philippines BruntWork Full time ₱900,000 - ₱1,200,000 per year

    This is a remote position. Schedule: Tuesday to Saturday 1:00 PM to 9:30 PM Mountain Time with 30 minutes unpaid break.  Role Overview: The Medical Billing Specialist will manage and optimize billing operations within AdvancedMD, ensure compliance, and support the team with best practices. While this position does not directly manage a team, it requires...


  • Quezon City, National Capital Region, Philippines INTELASSIST INC. Full time $40,000 - $80,000 per year

    Work Set-up: First 2-4 weeks onsite training before transitioning to fully remote/wfh.Shift: 9pm to 6am, Mondays to Fridays (Nightshift)Duties and Responsibilities:Medical Billing Specialist will be responsible for revenue cycle management tasks for multiple behavioral health Providers in a national portfolio. They may be responsible for the entire revenue...


  • Quezon City, National Capital Region, Philippines Sourcefit Full time $70,000 - $120,000 per year

    Position Summary:The primary responsibility of the Medical Billing Specialist – Collections is to assist our clients in collecting payments from the insurance companies for the medical services rendered to their patients. This includes charge entry and providing exceptional customer service.Job Details:Work from home Monday to Friday | 9:00 PM to...


  • Quezon City, National Capital Region, Philippines BruntWork Full time ₱900,000 - ₱1,200,000 per year

    This is a remote position. 40 hours per weekFIXED SCHEDULE: Monday - Friday 8AM - 5PM PST with 1hr unpaid break Job Title: Medical Billing & Collections Specialist Summary:We are seeking a detail-oriented Medical Billing & Collections Specialist to join our team. This role is responsible for patient billing, payment posting, collections, and related...


  • Quezon City, National Capital Region, Philippines Sourcefit Full time

    Position SummaryThe primary responsibility of the Medical Billing Specialist – Collections is to assist our clients in collecting payments from the insurance companies for the medical services rendered to their patients. This includes charge entry and providing exceptional customer service.Job DetailsWork from homeMonday to Friday | 9:00 PM to 6:00 AM...


  • Mandaluyong City, National Capital Region, Philippines ISTA Solutions Full time

    OverviewISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist to join our expanding team. The role involves Medicare/Medicaid billing responsibilities and collaboration with a team that emphasizes employee satisfaction and work-life balance.ResponsibilitiesPerform eligibility and benefits verification...


  • Makati City, National Capital Region, Philippines ISTA Solutions Full time

    Medical Billing Specialist | Accounts ReceivableISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA...


  • Makati City, National Capital Region, Philippines Medical Supply Inc. Full time ₱192,000 - ₱228,000 per year

    We are hiring several Medical Billers to join our team in Makati City A Medical Biller is responsible for submitting medical claims to insurance companies and payers.Responsibilities:Input new claims, determine eligibility for claims processing, processing payments through both automated and manual information systems, conduct billing research and respond to...