Insurance Medical Billing Specialist

Manila - Philippines

Monthly Salary: Not Disclosed

Posted on: 3 days ago

Vacancies: 1 Vacancy

Job Summary

This is a remote position.

Job Description

We are seeking an Insurance Medical Billing Specialist to manage the end-to-end medical billing process for healthcare services. This role is responsible for accurate claim submission timely reimbursements and maintaining compliance with insurance and healthcare regulations.

The ideal candidate has strong experience in medical billing claims management and denial resolution. This role requires close coordination with providers insurance companies and internal teams to support efficient revenue cycle operations and reduce billing issues.

Prepare review and submit accurate medical claims to insurance providers

Ensure proper coding using CPT ICD-10 and HCPCS before claim submission

Monitor claim status and follow up on unpaid delayed or rejected claims

Handle claim corrections resubmissions and appeals as needed

Verify patient insurance coverage benefits eligibility co-pays and deductibles

Communicate insurance details clearly to internal teams or patients when necessary

Track outstanding claims and maintain timely reimbursement follow-ups

Follow up on denied or underpaid claims and provide supporting documentation

Maintain accurate records of payment postings adjustments and billing activity

Identify denial trends and recommend corrective actions to improve billing accuracy

Investigate and resolve billing discrepancies and coding-related issues

Ensure all billing practices comply with HIPAA and healthcare regulations

Maintain organized and accurate billing documentation

Stay updated on insurance policies coding standards and billing procedures

Generate billing reports and track performance metrics such as claim acceptance rate and AR aging

Collaborate with internal teams to improve billing workflows and collection efficiency

Communicate effectively with insurance representatives and stakeholders

Requirements

Proven experience in medical billing insurance billing or revenue cycle management

Strong knowledge of CPT ICD-10 and HCPCS coding systems

Experience working with U.S. healthcare insurance providers including Medicare Medicaid and private insurers

Familiarity with EHR EMR and medical billing software

Strong understanding of claims processing denial management and accounts receivable follow-ups

High attention to detail and accuracy in handling financial data

Strong communication and problem-solving skills

Ability to work independently and manage multiple billing tasks efficiently

Experience in a healthcare clinic or medical practice setting is preferred

Certification such as CPC or equivalent is preferred

Experience with Kareo AdvancedMD Athenahealth or similar platforms is preferred

Knowledge of U.S. healthcare compliance and reimbursement processes is preferred

Required Skills:

Proven experience in medical billing insurance billing or revenue cycle management Strong knowledge of CPT ICD-10 and HCPCS coding systems Experience working with U.S. healthcare insurance providers including Medicare Medicaid and private insurers Familiarity with EHR EMR and medical billing software Strong understanding of claims processing denial management and accounts receivable follow-ups High attention to detail and accuracy in handling financial data Strong communication and problem-solving skills Ability to work independently and manage multiple billing tasks efficiently Experience in a healthcare clinic or medical practice setting is preferred Certification such as CPC or equivalent is preferred Experience with Kareo AdvancedMD Athenahealth or similar platforms is preferred Knowledge of U.S. healthcare compliance and reimbursement processes is preferred

This is a remote position. Job Description We are seeking an Insurance Medical Billing Specialist to manage the end-to-end medical billing process for healthcare services. This role is responsible for accurate claim submission timely reimbursements and maintaining compliance with insurance and...