Medical Biller

23 hours ago

Manila, National Capital Region, Philippines Outsourced Full time ₱25,000 - ₱50,000 per year

About Us:

Outsourced is a leading Philippines outsourcing company providing dedicated remote staff and offshore staffing services. We specialise in providing staff of the highest quality who will continue to exceed your expectations and provide benchmark offshore solutions to your business. With Outsourced you can scale your organisation quickly, easily and cost effectively with dedicated remote staff based in our modern offices in Manila.

Job Overview:

We are hiring a
Remote Medical Biller
who specializes in
RPM/CCM billing
but can also support
general medical billing operations
for clinics and provider groups. You will play a critical role in ensuring accurate, timely reimbursement for our services and helping our partners maintain strong revenue cycles.

Responsibilities:

RPM/CCM-Specific Billing

  • Submit claims for
    RPM codes (99453, 99454, 99457, 99458)
    and
    CCM codes (99490, 99439, 99487, 99489)
    .
  • Validate documentation meets CMS and commercial payer requirements (e.g., 16-day rule, interactive communication, time logs).
  • Reconcile patient encounters, time logs, and platform data against billing submissions.
  • Track denials or rejections specific to RPM/CCM and resubmit with corrected documentation.
  • Provide monthly reports on RPM/CCM revenue performance and outstanding claims.

General Medical Billing

  • Process insurance claims for E/M visits, labs, and other services as required by provider offices.
  • Verify patient insurance eligibility and benefits before claim submission.
  • Post payments, adjustments, and rejections into the billing system/EHR.
  • Work accounts receivable (A/R) to reduce outstanding balances and improve cash flow.
  • Coordinate with front-office staff and providers on coding, documentation, and claim corrections.

Compliance & Communication

  • Stay current with
    CMS guidelines
    and payer policy changes for RPM, CCM, and general medical billing.
  • Ensure compliance with
    HIPAA
    and client confidentiality standards.
  • Collaborate with offshore and U.S.-based teams (MAs, RNs, providers, operations) to resolve billing issues.
  • Maintain detailed records and audit-ready documentation for all claims.

Qualifications

  • Minimum 2 years of experience in
    medical billing and coding
    , with
    at least 1 year in RPM/CCM billing
    .
  • Strong knowledge of CPT, HCPCS, and ICD-10 coding standards.
  • Familiarity with major U.S. payers (Medicare, Medicaid, commercial insurance).
  • Experience with clearinghouses and EHR systems (MDLand, eClinicalWorks, Epic, or similar).
  • Excellent English communication skills (spoken and written).
  • High attention to detail and organizational skills.

Work Schedule:
Monday to Friday, 9:00 pm to 6:00 am Manila Time

Work Setup:
Home-based

  • Must have at least 20 mbps for both upload and download speed

Note:
As part of our recruitment process, we conduct a background check on all hired candidates. Please ensure that all required documents are prepared and submitted promptly.

In compliance to data privacy law, make sure that the following is included at all times:

By clicking on the "I'm Interested" button I hereby allow Outsourced Quality Assured Services, Inc. ("Outsourced") to store and collect my personal information for the purposes of employment application. As such, I agree and authorize Outsourced to collect, store, or continue to use my personal information for the above-stated purpose, and to retain my personal information for a period of 1 year, and for these purposes only.

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