Billing & Revenue Cycle Specialist (eClinical Works experience, required)

Remote Raven; Philippines; Remote; PHP 507,000 - 722,000; Full time

Job summary

Remote Raven in the Philippines is seeking a full-time Medical Billing Specialist to manage the end-to-end billing lifecycle for our practice. You will handle claim creation, submission, denials, patient balances, and AR aging while maintaining HIPAA compliance and high-quality service.

This 100% remote role requires 2–3 years of experience, proficiency with eClinicalWorks, CPT/ICD-10 coding, and strong communication.

Qualifications

• 2–3 years of medical billing and revenue cycle experience.
• Experience with eClinicalWorks (eCW).
• Knowledge of CPT and ICD-10 coding.
• Experience with commercial insurance and Medicare Part B.
• Strong communication and problem-solving skills.
• Ability to work independently with accuracy.
• Behavioral health billing experience.

Responsibilities

• Manage internal billing and collection activities for the practice.
• Oversee the full billing lifecycle from claim creation to AR workflows.
• Review claims for accuracy and address issues prior to submission.
• Investigate denials and underpayments; submit corrected claims and appeals.
• Review AR aging reports to ensure timely reimbursement.
• Serve as liaison between practice and external billing vendors.
• Manage patient balances and collection activities per policy.
• Contact patients on outstanding balances and arrange payments.
• Process patient payments and reconcile accounts.
• Maintain accurate financial documentation and records.
• Monitor revenue cycle metrics and report to management.
• Ensure HIPAA and payer guideline compliance.

Skills

Medical billing

Revenue cycle management

Communication

Problem solving

Tools

eClinicalWorks (eCW)

Job description

Key Responsibilities

Revenue Cycle Management

• Manage internal billing and collection activities for the practice
• Oversee the full billing lifecycle, including claim creation, claim submission, claim and patient balance investigation, balance corrections and adjustments, payment posting, and accounts receivable workflows
• Review claims for accuracy and identify billing issues prior to submission
• Investigate and resolve claim rejections, denials, and underpayments; submit corrected claims and appeals as necessary
• Review and work accounts receivable aging reports to ensure timely reimbursement
• Serve as the primary liaison between the practice and external billing vendors

Patient Billing and Collections

• Manage patient balances and collection activities in accordance with practice policies
• Contact patients regarding outstanding balances and establish payment arrangements when appropriate
• Process patient payments and maintain accurate account balances
• Reconcile payment discrepancies and research billing concerns
• Maintain accurate financial documentation and patient account records

Patient Financial Services and Customer Support

• Serve as the primary contact for the practice's billing phone line
• Answer patient questions regarding deductibles, copayments, coinsurance, eligibility and benefits, financial responsibility, outstanding balances, payment plans, billing statements, and individual charges
• Provide patients with copies of billing statements, itemized receipts, and payment histories upon request
• Explain billing information clearly, professionally, and compassionately to patients and their families
• Resolve patient billing concerns promptly and elevate complex issues to the appropriate team member when necessary

Reporting and Performance Monitoring

• Monitor and report on key revenue cycle metrics to management, including days in accounts receivable, AR aging reports, clean claim rate, claim creation and submission lag, payment posting timeliness, and patient collection performance

Compliance and Collaboration

• Maintain compliance with HIPAA, payer guidelines, and all applicable federal and state regulations
• Ensure billing documentation supports medical necessity and payer requirements
• Collaborate with administrative staff and practice leadership to resolve billing-related concerns and improve operational processes

Qualifications

Required

• Minimum 2 to 3 years of medical billing and revenue cycle experience
• Experience with eClinicalWorks (eCW)
• Comprehensive knowledge of the full medical billing lifecycle, including claims management, payment posting, denials, collections, and accounts receivable
• Experience working with commercial insurance plans, Medicare part B (required)
• Strong understanding of CPT coding, ICD-10 coding
• Exceptional customer service and communication skills, with the ability to discuss financial matters professionally and compassionately
• Strong analytical, organizational, and problem-solving skills
• Ability to work independently, manage multiple priorities, and maintain a high degree of accuracy
• Behavioral health or mental health billing experience

This is a full time role

100% Remote

Up to $7/hr