Medical Biller | Alabang

ADEC INNOVATIONS HEALTHCARE, INC; Muntinlupa; On-site; PHP 400,000 - 600,000; Full time

Benefits offered by this job

Competitive Salary

WORK ONSITE (Alabang City)

HMO on Day1 with free dependent

US Shifts with Night Differential

Free Shuttle and Free Parking

Employee referral bonus

Healthy working environment

Free webinars and trainings

Job summary

ADEC INNOVATIONS HEALTHCARE, INC is seeking a Medical Billing Specialist to prepare and submit claims, ensure billing accuracy and compliance, and support timely claim resolutions. The role emphasizes attention to payer guidelines and HIPAA standards.

The ideal candidate has 1–2 years in medical billing, proficiency with CPT/ICD-10 coding and EHR systems, and strong communication skills. This is an onsite position at Alabang Corporate Center with comprehensive benefits.

Qualifications

• College graduate.
• 1–2 years in medical billing or revenue cycle operations.
• Knowledge of healthcare billing, insurance processes, and medical terminology.
• Proficient in billing software and EHR systems (Epic, Meditech, NextGen).
• Understanding of CPT, ICD-10, HCPCS coding and claim submission standards.
• Strong communication, organizational, and problem-solving skills.
• Ability to work independently and maintain confidentiality.

Responsibilities

• Review and process claims for services to ensure accurate billing.
• Verify billing information accuracy (CPT, ICD-10, modifiers, demographics).
• Submit primary and secondary claims electronically or on paper if required.
• Resolve claim rejections by correcting and resubmitting promptly.
• Monitor unpaid or delayed claims and initiate follow-up or re-bill as needed.
• Collaborate with coding, registration, and clinical teams to resolve issues.
• Generate claims and statements as dictated by scope.
• Respond to billing inquiries professionally and promptly.
• Stay updated with billing regulations, payer requirements, and HIPAA compliance.
• Meet department productivity, accuracy, and quality benchmarks.

Skills

Medical billing

Revenue cycle

Communication

Organization

Problem solving

Confidentiality

Education

College degree

Tools

Epic

Meditech

NextGen

Job description

JOB SUMMARY

The Medical Billing Specialist is responsible for accurately preparing and submitting medical claims to appropriate payers. This role ensures proper claim details, billing compliance, and timely claim resolution to support the organization's financial goals. The ideal candidate has a strong understanding of medical billing processes, payer guidelines, and attention to detail.

DUTIES AND RESPONSIBILITIES

Other duties may be assigned. Core responsibilities are consistent across tiers, with expectations for increased independence, complexity, and specialization at higher levels. Tier is determined based on experience, skills and performance within the role.

• Review and process claims for services rendered to ensure accurate billing to insurance payers and patients.
• Verify accuracy of billing information, including procedure codes (CPT), diagnosis codes (ICD-10), modifiers, and patient demographics.
• Submit primary and secondary claims electronically or via paper, as required.
• Resolve claim rejections and errors by correcting and resubmitting in a timely manner.
• Monitor unpaid or delayed claims; initiate follow-up or re-bill as necessary.
• Collaborate with coding, registration, and clinical teams to resolve billing issues or obtain missing information.
• Generate claims and statements as dictated by scope.
• Respond to billing inquiries professionally and promptly.
• Stay current with billing regulations, payer requirements, and compliance guidelines (e.g., HIPAA).
• Meet department productivity, accuracy, and quality benchmarks

JOB REQUIREMENTS

• College graduate
• Minimum of 1–2 years of experience in medical billing or revenue cycle operations.
• Knowledge of healthcare billing practices, insurance processes, and medical terminology.
• Proficient in billing software and electronic health record (EHR) systems (e.g., Epic, Meditech, NextGen).
• Understanding of CPT, ICD-10, HCPCS coding, and claim submission standards.
• Strong communication, organizational, and problem-solving skills.
• Ability to work independently and handle sensitive information with confidentiality.

PREFERRED KNOWLEDGE AND EXPERIENCE:

• Certification in medical billing and coding (e.g., CPB, CPC, or equivalent).
• Experience in billing for hospital, physician, or multi-specialty group practices.
• Familiarity with Medicare, Medicaid, and commercial insurance guidelines.

PERKS OF JOINING US

• Competitive Salary
• WORK ONSITE (Alabang City)
• HMO on Day1 with FREE ONE DEPENDENT***
• US Shifts with 15% Night Differential
• Free Shuttle and Free Parking
• Employee referral bonus
• Employee engagements
• Healthy working environment
• Free webinars and internal trainings/events and more!

Office Location: Alabang Corporate Center