Internal Billing & Revenue Cycle Specialist

AbroadWorks Inc.; Manila; Remoto; PHP 434.000 - 868.000; Tempo pieno

Vantaggi offerti da questo lavoro

Healthcare benefits after 2 months

Five paid vacation days per year

5% yearly raise

Descrizione del lavoro

AbroadWorks Inc. is seeking an experienced Internal Billing & Revenue Cycle Specialist for a fully remote position based in the Philippines.

The role requires 2–3 years of psychiatric billing with full-cycle RCM, proficiency in eClinicalWorks, Medicare billing, and strong English communication. You will handle patient and insurance billing, denials, collections, and AR management, working US Eastern Time hours.

Competenze

• 2–3 years of psychiatric/mental health billing with full-cycle RCM experience.
• Proficiency with eClinicalWorks (eCW) and Medicare billing.
• Strong English communication and HIPAA knowledge.

Mansioni

• Manage internal billing and collection activities for the practice.
• Handle claim creation and submission, investigations, and accounts receivable workflows.
• Review claims for accuracy and submit corrections or appeals as needed.
• Investigate denials and underpayments; resubmit corrected claims.
• Review AR aging reports to ensure timely reimbursement.
• Serve as liaison between Flourish Mental Health and external vendors.

Conoscenze

English communication

Phone etiquette

Analytical skills

Organizational skills

Problem solving

Independent work

Strumenti

eClinicalWorks (eCW)

Excel

Descrizione del lavoro

About Us:

AbroadWorks is a fast growing global enterprise with established operations in the United States, India, and the Philippines. We specialize in providing both service-based solutions and advanced tech to help North American organizations in finding, onboarding, and managing global talent easily.

Our Offerings:

Global Staffing Services: Currently, the majority of our revenue is generated through our comprehensive global staffing services, which cater to the diverse needs of our clients.

Technology Solutions: Looking ahead, our strategic focus is to expand our footprint in the software sector, leveraging our technology to improve global human capital and talent management processes.

Job Title: Internal Billing & Revenue Cycle Specialist

Location: Fully Remote, Philippines

Rate: $5 – $10 per hour based on skills and relevant experience

Schedule: Monday to Friday, U.S. Eastern Time business hours

Job Type: Full Time

Job Description:

We are seeking an experienced Internal Billing & Revenue Cycle Specialist with at least 2–3 years of medical billing and revenue cycle management (RCM) experience, ideally in psychiatric or behavioral health. The role requires full-cycle RCM experience covering both patient-facing and insurance-facing responsibilities. The ideal candidate should have strong proficiency in eClinicalWorks (eCW), Medicare billing, claims management, payment posting, denials, collections, and accounts receivable.

Requirements:

• At least 2–3 years of proven experience as a Psychiatric or Mental Health Biller with full-cycle RCM experience. Recent psychiatric billing experience is preferred.

• Full-cycle revenue cycle management experience, including both patient-facing and insurance-facing responsibilities.

• Comprehensive knowledge of the medical billing lifecycle, including claims management, payment posting, denials, collections, and accounts receivable.

• Experience working with Medicare billing.

• Proficiency with eClinicalWorks (eCW), preferably with recent hands‑on experience.

• Knowledge of ICD-10 and CPT codes in a psychiatric practice.

• Strong English communication and phone etiquette skills.

• HIPAA certification and knowledge.

• Experience with reporting using Excel and other reporting tools.

• Ability to learn quickly, retain information, work in a fast‑paced environment, and handle pressure.

• Strong analytical, organizational, and problem‑solving skills.

• Ability to work independently, manage multiple priorities, and maintain accuracy.

• No prior commitments that would hinder employment with the client and no technical setup difficulties.

Preferences:

• Recent psychiatric or behavioral health billing experience.

• Experience with commercial insurance plans, Medicare, Medicaid, and managed care organizations.

• Familiarity with EHR/EMR systems.

• Strong understanding of insurance terminology and payer guidelines.

• Exceptional customer service skills and the ability to discuss financial matters professionally and compassionately.

Responsibilities:

Revenue Cycle Management

• Manage internal billing and collection activities for the practice.

• Handle claim creation and submission, claim and patient balance investigations, necessary balance corrections or adjustments, payment posting, and accounts receivable workflows.

• Review claims for accuracy and identify billing issues before 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 Flourish Mental Health and external billing vendors.

Patient Billing & 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 & Customer Support

• Serve as the primary contact for the practice's billing phone line.

• Answer patient questions regarding deductibles, copayments, coinsurance, eligibility, benefits, financial responsibility, outstanding balances, payment plans, billing statements, and charges.

• Provide copies of billing statements, itemized receipts, and payment histories upon request.

• Explain billing information clearly, professionally, and compassionately to patients and families.

• Resolve patient billing concerns promptly and elevate complex issues when necessary.

Reporting & Performance Monitoring

• Monitor and report key revenue cycle metrics to management, including:

• Days in Accounts Receivable (AR).

• AR aging reports.

• Clean claim rate.

• Claim creation and submission lag.

• Payment posting timeliness.

• Patient collection performance.

Compliance & Collaboration

• Maintain compliance with HIPAA, payer guidelines, and applicable federal and state regulations.

• Ensure billing documentation supports medical necessity and payer requirements.

• Collaborate with administrative staff and leadership to resolve billing-related concerns and improve operational processes.

Successful candidates for this role are expected to possess the following attributes:

• Must have excellent English communication skills.

• Has the ability to complete projects in a timely manner and quickly adjust to changing circumstances and embrace new technologies, processes, or methods.

• Great logical and verbal reasoning skills.

• Exceptionally detail-oriented.

• Exceptional problem‑solving and information‑processing skills.

• Ability to think outside the box.

• A great work ethic and interest in learning new concepts and growing with the job.

• Ability to work both independently and as part of a team.

• Must have their own work device (preferably a desktop or laptop) and a stable internet connection.

• Must be comfortable with using a time‑tracking software for payroll purposes.

• Must be willing to undergo a background verification check during the final stages of the hiring process.

Successful candidates for this role will be rewarded with the following benefits:

• A total of five paid vacation days per year (additional days can be taken unpaid).

• A 5% raise per year guaranteed (additional raises or bonuses may be given for outstanding performance).

• A paid 15‑minute break for every 4 hours of work

• Healthcare benefits after 2 months of full‑time work.

* Vacation days increase by 1 vacation day per year. I.e. after one year of employment, the total paid vacation days on year 2 would be six, on year 3 seven, etc.

Our main focus is to build an energized and motivated workforce where our employees are happy and satisfied with their jobs and growth opportunities.

We are looking forward to making you a part of our team!

Thank you for your time and interest.