Hospital Billing Representative | Permanent WFH

BizForce; Metro Manila; Remote; PHP 279.000 - 469.000; Vollzeit

Benefits dieser Stelle

Permanent Work From Home

Leave Credits

Monetary Allowance

Annual Bonus

Weekly Paychecks

Fixed Weekends Off

Thriving Company Culture with Complete

Autonomy

Zusammenfassung

BizForce, a fast-growing outsourcing company, is hiring a Hospital Billing Representative in a remote setup. The role focuses on insurance claim follow-up, denial management, and reducing accounts receivable to ensure timely reimbursement.

The ideal candidate has 2+ years in hospital billing or medical billing, familiarity with CPT/ICD-10/HCPCS, and strong payer knowledge, with the ability to work US hours from the Philippines.

Qualifikationen

• 2+ years of experience in hospital billing, hospital collections, or medical billing/collections
• Familiarity with CPT, ICD-10, and HCPCS coding systems
• Experience working with hospital billing systems, EHRs, or revenue cycle platforms
• Strong understanding of payer requirements and denial resolution strategies
• Experience handling high-volume A/R follow-up and insurance collections
• Knowledge of hospital revenue cycle workflows and reimbursement processes
• Hands‑on experience with insurance claims follow‑up and denial management
• Working knowledge of Medicare, Medicaid, and commercial insurance processes

Aufgaben

• Perform timely follow-up on outstanding hospital and insurance claims to secure reimbursement
• Contact Medicare, Medicaid, and commercial insurance payers to verify claim status and resolve payment issues
• Review denied and underpaid claims, identify root causes, and determine appropriate resolution
• Prepare and submit accurate claim appeals with required supporting documentation
• Research payer guidelines and requirements to resolve billing and reimbursement issues
• Review A/R aging reports and prioritize accounts based on balance, age, and urgency

Kenntnisse

A/R follow-up

Insurance collections

Denial management

HIPAA knowledge

EHR experience

Billing systems

Ausbildung

High school diploma or equivalent

Jobbeschreibung

We are seeking an experienced Hospital Billing Representative to join our Patient Financial Services and Revenue Cycle team. This role is responsible for managing insurance claim follow-up, resolving billing issues, and reducing outstanding accounts receivable to support timely and accurate reimbursement.

The ideal candidate has hands-on experience with hospital or medical billing, insurance collections, denial management, and A/R follow-up. Strong attention to detail, analytical thinking, and knowledge of payer processes are essential for success in this role.

Key Responsibilities

• Perform timely follow-up on outstanding hospital and insurance claims to secure reimbursement
• Contact Medicare, Medicaid, and commercial insurance payers to verify claim status and resolve payment issues
• Review denied and underpaid claims, identify root causes, and determine appropriate resolution
• Prepare and submit accurate claim appeals with required supporting documentation
• Research payer guidelines and requirements to resolve billing and reimbursement issues
• Review A/R aging reports and prioritize accounts based on balance, age, and urgency
• Identify and correct claim errors in coordination with billing, coding, and other revenue cycle teams
• Maintain detailed and accurate documentation of all account activity and payer communications
• Monitor assigned accounts through resolution and ensure appropriate follow-up
• Maintain compliance with HIPAA, payer requirements, and internal billing policies
• Identify recurring billing and denial issues and contribute to process improvement initiatives
• Perform other duties as assigned within the Patient Financial Services team

Qualifications

• 2+ years of experience in hospital billing, hospital collections, or medical billing/collections
• Familiarity with CPT, ICD-10, and HCPCS coding systems
• Experience working with hospital billing systems, EHRs, or revenue cycle platforms
• Strong understanding of payer requirements and denial resolution strategies
• Experience handling high-volume A/R follow-up and insurance collections
• Knowledge of hospital revenue cycle workflows and reimbursement processes
• High school diploma or equivalent
• Hands‑on experience with insurance claims follow‑up and denial management
• Working knowledge of Medicare, Medicaid, and commercial insurance processes
• Experience managing medical A/R and interpreting aging reports
• Strong attention to detail and ability to research and resolve complex billing issues
• Excellent written and verbal communication skills
• Ability to manage multiple accounts while meeting productivity and quality expectations
• Amenable to work during US hours
• Must be willing to undergo a background check as part of the hiring process.

Perks

• Permanent Work From Home
• Leave Credits
• Monetary Allowance
• Annual Bonus
• Weekly Paychecks
• Fixed Weekends Off
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary

Who are we?

BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.