(M) Insurance billing specialist - CSR (Non-Voice)

Sapient Global Services; Mandaluyong; On-site; PHP 223,200 - 334,800; Full time

Benefits offered by this job

Commission

Performance Bonus

Incentives

HMO

Job Training

Job summary

A provider of healthcare billing services in Mandaluyong is seeking an Insurance Billing Specialist to manage and process insurance claims, ensuring accurate billing and compliance with regulations. The ideal candidate has 1-3 years of experience in insurance or medical billing and possesses strong knowledge of insurance plans and billing procedures. This full-time role offers commission and performance bonuses, along with benefits like HMO and professional training.

Qualifications

• 1–3 years of insurance billing or medical billing experience.
• Strong knowledge of CPT, ICD-10, and HCPCS codes.
• Experience in a healthcare, hospital, or medical practice setting.

Responsibilities

• Manage and process insurance claims for accurate billing.
• Verify patient insurance eligibility and benefits.
• Identify and correct denied or rejected claims.
• Ensure compliance with HIPAA and payer regulations.
• Collaborate to resolve billing errors.

Skills

Knowledge of insurance plans

Billing procedures

Attention to detail

Communication skills

Problem-solving abilities

Education

High school diploma or equivalent

Associate’s degree preferred

Tools

EHR/PM systems (e.g., Epic, Cerner)

Job description

(M) Insurance billing specialist - CSR (Non-Voice)

On-site - Mandaluyong 1-3 Yrs Exp High/Senior High School Full-time

Job Description

Employee Recognition and Rewards

Commission, Performance Bonus, Incentives

Government Mandated Benefits

Insurance Health & Wellness

HMO

Professional Development

Job Training

The Insurance Billing Specialist is responsible for managing and processing insurance claims, ensuring accurate billing, timely reimbursement, and compliance with payer requirements. This role serves as a key link between patients, providers, and insurance companies to resolve billing issues and minimize claim denials.

Key Responsibilities

Submit and follow up on insurance claims (commercial, Medicare, Medicaid, etc.)

Verify patient insurance eligibility and benefits

Review coding (CPT, ICD-10, HCPCS) for accuracy and compliance

Identify, correct, and resubmit denied or rejected claims

Post insurance payments and adjustments accurately

Investigate underpayments and discrepancies

Communicate with insurance carriers to resolve claim issues

Maintain detailed billing records and documentation

Ensure compliance with HIPAA and payer regulations

Collaborate with front office, coding, and clinical staff to resolve billing errors

Required Skills & Qualifications

High school diploma or equivalent (Associate’s degree preferred)

1–3 years of insurance billing or medical billing experience

Strong knowledge of insurance plans, billing procedures, and claim forms

Familiarity with CPT, ICD-10, and HCPCS codes

Experience with EHR/PM systems (e.g., Epic, Cerner, Athena, eClinicalWorks)

Strong attention to detail and analytical skills

Excellent communication and problem-solving abilities

Preferred Qualifications

Certification such as CPB, CPC, or CCS

Experience in a healthcare, hospital, or medical practice setting

Knowledge of Medicare, Medicaid, and managed care guideline