Billing / Accounts Receivable Specialist

Zohorecruit; Philippines; Remote; PHP 335,000 - 469,000; Full time

Job summary

Infinit-O is seeking a Billing / Accounts Receivable Specialist for a remote role. The candidate will manage AR within the revenue cycle, perform payer follow-ups, and investigate denials to ensure timely reimbursements. Strong accuracy and communication are essential in a HIPAA-compliant environment.

The position requires 1–2 years of medical billing or AR experience, with familiarity in outpatient specialties and payer portals. Proficiency in CPT/HCPCS/ICD-10-CM codes is preferred.

Qualifications

• 1–2 years of medical billing or accounts receivable experience.
• Experience with outpatient billing and payer portals (EHRs, clearinghouses).
• Familiarity with CPT/HCPCS/ICD-10-CM codes and billing terminology.
• Strong written and verbal communication skills.

Responsibilities

• Review accounts receivable work queues and aging reports.
• Follow up with payers via portals, phone calls, inquiries, and correspondence.
• Investigate unpaid/denied claims and submit corrected claims or appeals.
• Verify remittance advice and EOBs for accurate processing.
• Maintain detailed account notes and deadlines; escalate high-dollar issues.

Skills

Attention to detail

Communication skills

Organizational skills

Problem solving

HIPAA compliance

Education

High school diploma or equivalent

Tools

Tebra

SimplePractice

PracticeSuite

EHRs

Payer portals

Excel

Job description

Billing / Accounts Receivable Specialist

Infinit-O is the trusted customer-centric and sustainable leader in Business Process Optimization for Small and Medium businesses in the Financial Services, Healthcare, and Technology sectors by delivering continuous improvement through technology, data, and people.

Job Description

This is a remote position.

Infinit-O is the trusted, customer-centric, and sustainable leader in Business Process Optimization. We empower finance and healthcare organizations to thrive in a digital-first world by combining specialized industry expertise and innovative technology for 20 years.

We navigate complex industry landscapes to drive transformative outcomes, helping businesses streamline operations, enhance customer experience, and achieve sustainable growth backed by a world-class Net Promoter Score of 75. Our approach combines operational efficiency with a human-centered ethos, ensuring sustainable value creation for our clients and team members.

As a Certified B Corporation, Infinit-O is committed to the highest standards of social and environmental performance, accountability, and transparency. We embed these values into every aspect of our operations—aligning business success with a positive impact on our clients, people, and communities.

Our commitment to Diversity, Equity, and Inclusion (DEI) is integral to our mission. We believe that building inclusive, equitable teams is not only the right thing to do—it is also essential for driving innovation and better business outcomes. We actively promote equal opportunity through inclusive hiring practices, continuous learning programs, and regular equity assessments to ensure a fair and empowering workplace for all.

Position Summary

The Billing / Accounts Receivable Specialist is responsible for managing assigned

accounts throughout the revenue cycle to support accurate claim submission,

timely reimbursement, and resolution of outstanding balances. This role requires

proactive follow-up with insurance payers, identification and correction of billing

issues, denial resolution, payment review, and clear documentation of all account

activity.

The ideal candidate is detail-oriented, accountable, productive, and able to

independently investigate unpaid or underpaid claims while knowing when to

escalate issues or request support.

Essential Duties and Responsibilities

• Review assigned accounts receivable work queues, aging reports, and
• Follow up with insurance payers through payer portals, phone calls, electronic inquiries, and written correspondence.
• Investigate unpaid, underpaid, rejected, and denied claims to determine the
• Correct billing errors and submit corrected claims, reconsiderations, and appeals within payer filing deadlines.
• Review remittance advice, explanation of benefits, and electronic remittance data to verify proper claim processing.
• Identify payment discrepancies, contractual underpayments, inappropriate denials, and incorrect patient responsibility. reasons, and additional documentation requirements.
• Research eligibility, benefits, authorizations, referrals, coordination of benefits, credentialing, enrollment, coding, and claim-routing issues.
• Verify that claims include accurate patient, provider, payer, diagnosis, procedure, modifier, place-of-service, and billing information.
• Submit requested medical records and supporting documentation to payers.
• Transfer balances to the appropriate payer or patient only after completing necessary research.
• Work credit balances and payment-posting discrepancies as assigned.
• Maintain detailed account notes documenting actions taken, information received, reference numbers, representatives contacted, and required follow-up.
• Monitor deadlines for corrected claims, appeals, reconsiderations, and timely filing.
• Follow up consistently until each assigned claim or balance is fully resolved.
• Escalate recurring payer issues, system problems, credentialing concerns, coding questions, and high-dollar accounts.
• Communicate professionally with clients, providers, patients, payers, and internal team members.
• Meet established productivity, quality, accuracy, and turnaround-time
• Participate in account reviews, team meetings, training sessions, andprocess-improvement initiatives.
• Maintain confidentiality and comply with HIPAA, company policies, payer requirements, and applicable healthcare regulations.
• Perform additional billing and revenue-cycle duties as assigned.

Requirements

Required Qualifications

Exp- 1-2 years

• Education & Experience: High school diploma or equivalent. At least two years of medical billing, insurance follow-up, or healthcare accounts receivable experience required/preferred.
• Specialty Background: Strong background in billing for general outpatient specialties, primarily including Primary Care, Psychiatry, Gastroenterology, electronic health records (EHRs), clearinghouses, and payer portals. Must have experience with platforms such as Tebra, SimplePractice, Practice
• Work Ethic & Ownership: Highly self-driven candidates who take true ownership in their work, embrace a team environment, work independently, and do not require constant direction or monitoring.
• Core Skills: Working knowledge of the medical billing and revenue-cycle process. Experience researching claim status and resolving rejections, denials, and underpayments. Ability to interpret remittance advice, explanation of benefits (EOB), denial codes, adjustment reason codes, and payer correspondence. Familiarity with CPT, HCPCS, ICD-10-CM codes, modifiers, and medical terminology. Strong written and verbal communication skills. Strong organizational, problem-solving, and analytical skills. Ability to manage multiple priorities and follow accounts through final Proficiency with Microsoft Office, including Excel, Outlook, and Word.
• Probationary Period: Must successfully pass a 90-day probation period showcasing productivity, self-direction, and ownership.

Preferred Qualifications

• Experience working with Medicare, Medicaid, commercial insurance, managed-care plans, and workers’ compensation.
• Experience preparing corrected claims, reconsiderations, and formal payer appeals.
• Knowledge of payer contracts, reimbursement methodologies, and contractual adjustments.
• Certified Professional Biller (CPB), Certified Professional Coder (CPC), or another relevant healthcare certification.
• Experience working in a multi-specialty oroutsourced revenue-cycle

Performance Expectations

• Consistently meet established productivity and quality standards.
• Maintain accurate, complete, and timely account documentation.
• Prioritize high-dollar, aging, and timely-filing-sensitive claims.
• Demonstrate ownership of assigned accounts and follow through until
• Avoid unnecessary claim resubmissions, duplicate claims, and preventable clearinghouse or payer fees.
• Identify trends rather than repeatedly working individual accounts without addressing the underlying issue.
• Communicate barriers and request assistance before an issue affects reimbursement or client service.
• Complete assigned work within required timeframes.
• Maintain professional and responsive communication with clients and team