End to End Medical Biller

E-Solutions; Metro Manila; Remote; PHP 360,000 - 480,000; Full time

Job summary

E-Solutions is seeking an experienced Medical Billing Specialist for a remote, 1-year contract role in the Philippines. You will manage end-to-end billing, from eligibility verification to payment posting, denials, and AR follow-up, with a focus on accuracy and compliance.

The candidate should have 2+ years of hands-on end-to-end medical billing experience and 3+ years of total professional experience, with proficiency in CPT/HCPCS/ICD-10 and HIPAA regulations.

Qualifications

• 3+ years total professional experience in medical billing.
• 2+ years hands-on end-to-end medical billing experience.
• Strong knowledge of the billing and revenue cycle management (RCM) process.

Responsibilities

• Manage end-to-end medical billing cycle, including eligibility verification, claim submission, and posting.
• Process payment posting, adjustments, write-offs, and remittance reconciliation.
• Investigate and resolve claim denials, rejections, and underpayments; prepare appeals when needed.
• Perform AR follow-ups, monitor aging, and coordinate with payers, providers, and patients to resolve billing issues.
• Ensure billing accuracy and compliance with CPT/HCPCS/ICD-10/HIPAA and payer requirements.
• Maintain complete billing documentation and identify opportunities to improve turnaround times.

Skills

Analytical

Organizational

Communication

Problem-solving

Education

CPC/CPB Certification

Tools

Medical billing systems

Practice management software

Microsoft Office

Job description

Position Type: Contract - 1 year (with a possibility of extension)

Schedule: 8:00 PM–5:00 AM Philippine Time (PHT)

Job Overview

We are seeking an experienced Medical Billing Specialist with strong end-to-end medical billing expertise to manage the complete revenue cycle, from insurance eligibility verification and claims submission to payment posting, denial resolution, and accounts receivable follow‑up.

The ideal candidate has at least 2 years of hands‑on end-to-end medical billing experience and 3 years of total professional experience, with a solid understanding of medical coding, insurance claims processing, and payer requirements. This is a remote, one‑year contract opportunity with the possibility of extension.

Key Responsibilities

• Manage the end‑to‑end medical billing cycle, including insurance eligibility and benefits verification, claim preparation, review, and submission of electronic and paper claims.
• Process payment posting, contractual adjustments, write‑offs, and remittance reconciliation to ensure accurate billing records and reimbursement.
• Investigate and resolve claim denials, rejections, and underpayments, including preparing and submitting appeals when necessary.
• Perform accounts receivable (AR) follow‑ups, monitor aging reports, and coordinate with insurance payers, healthcare providers, and patients to resolve outstanding billing issues.
• Ensure billing accuracy and compliance with applicable coding standards, payer requirements, and healthcare privacy regulations, including CPT, HCPCS, ICD‑10, and HIPAA.
• Maintain complete and accurate billing documentation, track outstanding claims, and identify opportunities to improve billing efficiency and reimbursement turnaround times.

Qualifications

• At least 3 years of total professional experience, including a minimum of 2 years of hands‑on end‑to‑end medical billing experience.
• Strong knowledge of the medical billing and revenue cycle management (RCM) process, including claims processing, payment posting, denial management, and AR follow‑up.
• Familiarity with CPT, HCPCS, ICD‑10, insurance claims processing, and payer billing guidelines.
• Experience using medical billing systems, practice management software, and Microsoft Office applications.
• Strong analytical, organizational, communication, and problem‑solving skills.
• High attention to detail and the ability to manage multiple billing tasks while meeting deadlines.
• Able to work independently in a remote environment and maintain productivity during night‑shift hours.

Preferred Qualifications

• Certified Professional Coder (CPC), Certified Professional Biller (CPB), or a related professional certification.
• Experience handling Medicare, Medicaid, and commercial insurance payers.
• Experience with claims denial analysis, appeals processing, reimbursement reconciliation, and AR recovery.