Clinical Coordinator

Recruitify_HR; Taguig; On-site; PHP 279,000 - 446,400; Full time

Job summary

Recruitify_HR is seeking a Medical Billing Specialist in the Philippines to manage end-to-end medical billing processes.

The role requires hands-on Revenue Cycle Management (RCM) experience, CPT/ICD-10/HCPCS familiarity, and strong English and documentation skills. On-site work with shifting schedules is required to support US payer billing requirements.

Qualifications

• 6+ months experience in Revenue Cycle Management (RCM)
• Experience in medical billing, claims processing, or AR follow-up
• Familiarity with CPT, ICD-10, and HCPCS coding (basic to intermediate)
• Knowledge of US healthcare billing processes and payers
• Strong attention to detail and accuracy
• Good communication and documentation skills

Responsibilities

• Handle end-to-end medical billing processes for claims
• Submit and follow up on insurance claims (primary & secondary)
• Verify patient insurance eligibility and benefits
• Review, correct, and resubmit denied or rejected claims
• Post payments and reconcile EOBs/ERAs
• Ensure compliance with billing regulations and payer guidelines
• Maintain accurate patient and billing records
• Collaborate with internal teams to resolve billing discrepancies

Skills

RCM Experience

Medical Billing

English Proficiency

Attention to Detail

Communication

Tools

Medical billing software

EMR systems

Job description

We are currently ramping up for the Medical Billing Specialist role. This position requires hands-on experience in Revenue Cycle Management (RCM). Candidates must have a minimum of 6 months relevant experience in medical billing or related RCM functions. Please note that applicants without prior RCM experience will not be considered for this role.

Key Responsibilities

• Handle end-to-end medical billing processes
• Submit and follow up on insurance claims (primary & secondary)
• Verify patient insurance eligibility and benefits
• Review, correct, and resubmit denied or rejected claims
• Post payments and reconcile EOBs/ERAs
• Ensure compliance with billing regulations and payer guidelines
• Maintain accurate patient and billing records
• Work with internal teams to resolve billing discrepancies

Requirements

• Minimum of 6 months experience in Revenue Cycle Management (RCM)
• Proven experience in medical billing, claims processing, or AR follow-up
• Familiarity with CPT, ICD-10, and HCPCS coding (basic to intermediate level)
• Knowledge of US healthcare billing processes and insurance payers
• Strong attention to detail and accuracy
• Good communication and documentation skills

Nice to Have

• Experience with medical billing software or EMR systems
• Prior work with US healthcare providers or billing companies

Qualifications

Must have at least 1-2 years of related work experience in a BPO, with a minimum of 6 months of medical billing experience

Must be proficient in English

Schedule: Shifting schedule and may work during holidays

With EXCELLENT communication skills

Must be willing to work on-site