Medical Billing Specialist (Philippines | Remote

OperationsArmy · via Himalayas ·

TypeFull-time job
LocationPhilippines
Posted2 hours ago
Job Title: Medical Billing Specialist or Revenue Cycle Management (RCM) Specialist
Schedule: Full-time | 45 hours/week | 9:00 AM - 5:00 PM PST
Location: Remote
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About the Role
Were seeking a detail-oriented Medical Billing Specialist to support the revenue cycle operations of a U.S.-based healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims. You'll be working directly in the clients billing system, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.
This is an ideal opportunity for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.
Key Responsibilities

Log into the clients billing system to review and manage denied or aging claims

Work claim queues to identify root causes of denials and submit appropriate documentation or corrections

Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues

Escalate recurring denial trends or system/process bottlenecks to the clients RCM lead

Maintain accurate and detailed notes of all payer interactions and claim activities

Assist with additional RCM workflows as needed to support clean and efficient revenue operations

Qualifications

1-3 years of experience in medical billing, revenue cycle management, or claims follow-up

Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD, etc.)

High attention to detail and ability to work independently on repetitive or process-heavy tasks

Strong written and verbal communication skills in English

Comfortable speaking with payers over the phone and navigating insurance systems

Nice to Have

Experience with denial management and recovery of aged claims

Previous work with U.S.-based healthcare providers

Background in a remote RCM role

Apply here:
Originally posted on Himalayas
medical-billing-specialist revenue-cycle-management-specialist revenue-cycle-specialist claims-specialist denial-management-specialist
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