Billing Generalist

CF Solutions Philippines Inc.; Quezon City; On-site; PHP 290,000 - 469,000; Full time

Job summary

CF Solutions Philippines Inc. is seeking a detail-oriented Biller Generalist to join our healthcare revenue cycle team in Metro Manila.

You will manage billing processes, submit claims, post payments, handle denials, and perform account follow-up to maximize reimbursements. The role requires solid knowledge of medical billing, CPT/ICD-10 coding, and EMR/EHR and practice management systems, with at least two years of experience.

Qualifications

• Minimum of 2 years of medical billing experience.
• Knowledge of commercial insurance, Medicare, Medicaid, and managed care billing.
• Experience with claim submission, payment posting, and denial management.
• Familiarity with CPT, ICD-10, and HCPCS coding concepts.

Responsibilities

• Submit electronic and paper claims accurately and timely to insurance payers.
• Review claims for completeness and compliance prior to submission.
• Follow up on unpaid, denied, or rejected claims and resolve billing discrepancies.
• Process insurance and patient payments, adjustments, and account reconciliations.
• Verify patient insurance information and eligibility when necessary.
• Research and appeal denied claims according to payer guidelines.
• Monitor accounts receivable (AR) and work aging reports to ensure timely collections.
• Communicate with insurance companies regarding claim status and payment issues.
• Maintain accurate patient billing records within the practice management system.
• Collaborate with providers, front-office staff, and revenue cycle teams to address billing concerns.

Skills

Analytical skills

Problem-solving

Organizational skills

Communication skills

Attention to detail

Education

Medical Billing and Coding certification

Tools

EMR/EHR systems

Practice management systems

Claim submission tools

Job description

About the role

We are seeking a detail-oriented and experienced Biller Generalist to join our healthcare revenue cycle team. The ideal candidate will be responsible for managing billing processes, claims submission, payment posting, denial management, account follow-up, and ensuring accurate reimbursement from insurance carriers and patients. This role requires strong knowledge of medical billing procedures, insurance guidelines, and revenue cycle management to support efficient operations and maximize collections.

Key responsibilities

• Submit electronic and paper claims accurately and timely to insurance payers.
• Review claims for completeness and compliance prior to submission.
• Follow up on unpaid, denied, or rejected claims and resolve billing discrepancies.
• Process insurance and patient payments, adjustments, and account reconciliations.
• Verify patient insurance information and eligibility when necessary.
• Research and appeal denied claims according to payer guidelines.
• Monitor accounts receivable (AR) and work aging reports to ensure timely collections.
• Communicate with insurance companies regarding claim status and payment issues.
• Maintain accurate patient billing records within the practice management system.
• Collaborate with providers, front-office staff, and revenue cycle teams to address billing concerns.

About you

• Minimum of 2 years of medical billing experience.
• Knowledge of commercial insurance, Medicare, Medicaid, and managed care billing.
• Experience with claim submission, payment posting, and denial management.
• Familiarity with CPT, ICD-10, and HCPCS coding concepts.
• Strong analytical, problem-solving, and organizational skills.
• Excellent written and verbal communication skills.
• Proficiency in EMR/EHR and practice management systems.
• Experience working with multi-specialty or outpatient practices (preferred).
• Knowledge of revenue cycle management best practices (preferred).
• Medical Billing and Coding certification (preferred but not required).