Hospital Billing Representative | Permanent WFH

BizForce; Philippines; Remote; PHP 335,000 - 614,000; Full time

Benefits offered by this job

Permanent work from home

Annual bonus

Weekly pay

Leave credits

Monetary allowance

Fixed weekends off

Specialized training

Competitive salary

Job summary

BizForce is seeking an experienced Hospital Billing Representative to join our Patient Financial Services and Revenue Cycle team. You will manage insurance claim follow-up, resolve billing issues, and reduce outstanding A/R to support timely reimbursements.

The ideal candidate has hands-on hospital billing experience, knowledge of CPT/ICD-10, and strong denial management skills, with the ability to work US hours from a remote setting. This role offers growth within a thriving outsourcing company.

Qualifications

• 2+ years in hospital billing, hospital collections, or medical billing/collections.
• Familiarity with CPT, ICD-10, and HCPCS coding systems.
• Experience with hospital billing systems and EHRs.
• Strong knowledge of payer requirements and denial resolution strategies.

Responsibilities

• Perform timely follow-up on outstanding claims to secure reimbursement.
• Contact payers to verify claim status and resolve payment issues.
• Review denied/underpaid claims and determine resolutions.
• Prepare and submit claim appeals with supporting documentation.
• Research payer guidelines to resolve billing issues.
• Review aging reports and prioritize accounts by balance and urgency.
• Identify and correct claim errors with billing and coding teams.
• Maintain meticulous documentation of all account activity.
• Monitor accounts through resolution and follow-up.
• Maintain HIPAA compliance and internal billing policies.
• Identify recurring issues and contribute to process improvements.
• Perform other duties within the Patient Financial Services team.

Skills

Hospital billing

Insurance follow-up

A/R collection

Denial management

Attention to detail

Communication skills

Education

High school diploma

Tools

EHR systems

Revenue cycle platforms

Medicare/Medicaid portals

Job description

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.