Medical Billing & Coordinator

Remote Raven; Philippines; A distancia; PHP 428.000 - 610.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Fully remote

Competitive compensation

Descripción de la vacante

Remote Raven is seeking an experienced Medical Billing Coordinator to join the US healthcare customer service team in a fully remote capacity. The role focuses on insurance verification, scheduling, and patient communication with emphasis on accuracy and HIPAA compliance.

Ideal candidates will have hands-on VOB experience, payer portal navigation skills, and proficiency with EMR/EHR systems. This is a full-time, remote role suitable for applicants worldwide.

Formación

• Demonstrated experience in a US healthcare call center environment.
• Hands-on experience conducting insurance verification and benefits checks (VOB) for US payers.
• Proficiency navigating payer portals and contacting insurance carriers.
• EMR/EHR system proficiency is required.

Responsabilidades

• Verify patient insurance eligibility, network status, and active coverage before appointments.
• Schedule, reschedule, and confirm patient appointments across providers.
• Process referrals and coordinate with internal teams and external providers.
• Document insurance verification and patient interactions in EMR/EHR accurately.

Conocimientos

US healthcare call center

Insurance verification

Payer portals

EMR/EHR proficiency

HIPAA awareness

Customer service

Herramientas

EMR/EHR

Microsoft 365

Google Workspace

Descripción del empleo

Our client is a US-based healthcare organization seeking an experienced Medical Billing Coordinator to join their Customer Service team. This role sits at the front line of patient access — handling inbound and outbound calls, verifying insurance benefits, scheduling appointments, and ensuring that every patient interaction is handled with accuracy, professionalism, and care.

This is not an entry-level position. The ideal candidate brings hands-on experience in US healthcare call center operations, a solid working knowledge of insurance verification and benefits, and the ability to navigate payer portals and EHR systems with confidence.

Key Responsibilities:

Insurance Verification and Benefits (VOB)

• Verify patient insurance eligibility, network status, and active coverage prior to appointments
• Confirm deductibles, copays, coinsurance, out-of-pocket maximums, and service-specific benefits
• Identify referral requirements and prior authorization (PA) needs by payer and service type
• Navigate payer portals and contact insurance carriers directly to verify benefits when portal information is insufficient
• Accurately document all insurance verification details in the EMR/EHR
• Handle inbound patient calls with professionalism, warmth, and efficiency
• Make outbound calls to patients for scheduling, benefit confirmations, document collection, and follow-up
• Clearly communicate insurance benefit information to patients in plain, understandable language
• Address patient questions and concerns with patience and accuracy

Scheduling and Administrative Support

• Schedule, reschedule, and confirm patient appointments across providers and service lines
• Process referrals and coordinate with internal teams and external providers as needed
• Verify and update patient demographic information to maintain accurate records
• Maintain complete and organized documentation across all patient interactions and transactions

What This Role Requires:

Required Experience

• Demonstrated experience in a US healthcare call center environment — this is a firm requirement
• Hands-on experience conducting insurance verification and benefits checks (VOB) for US payers
• Working knowledge of deductibles, copays, coinsurance, out-of-pocket costs, and benefit structures across commercial and government payers
• Experience identifying referral and prior authorization requirements by payer
• Proficiency navigating payer portals and contacting insurance carriers
• Experience documenting insurance verification and patient interactions in an EMR or EHR system

Skills and Attributes

• Detail oriented. Accurate verification and documentation are the foundation of this role — errors have real consequences for patients and the practice.
• Organized and dependable. You manage a high volume of calls and tasks without losing accuracy or follow-through.
• Clear and professional communicator. You speak with patients and insurance representatives confidently and with care.
• Patient and composed. You handle difficult conversations, confused patients, and complex payer situations calmly and professionally.
• HIPAA aware. You handle all patient information with discretion and in full compliance with HIPAA requirements.

Technical Requirements

• EMR/EHR proficiency — required; specific system training provided
• Microsoft 365 or Google Workspace — proficient
• Reliable high-speed internet, a quiet dedicated workspace, and a quality headset
• Schedule: Full-time, Monday through Friday, aligned to US business hours
• Location: Fully remote
• Call volume: Mix of inbound and outbound patient calls

Who Will Thrive Here:

This role is the right fit for someone who has worked in US healthcare call center operations and understands the pace, the stakes, and the standards that come with it. You know your way around a payer portal, you verify benefits without cutting corners, and you communicate with patients in a way that puts them at ease. If you take pride in getting the details right and following through on every task, we want to hear from you.

This is a full time role

Up to $6/hr

100% Remote