Medical Billing Specialist

Recruitify_HR; Philippines; Vor Ort; PHP 279.000 - 446.000; Vollzeit

Zusammenfassung

Recruitify_HR in the Philippines is seeking a Medical Billing Specialist responsible for end-to-end Revenue Cycle Management (RCM) tasks and claims processing. The role requires hands-on experience with CPT, ICD-10, and HCPCS coding, plus familiarity with payer guidelines and US billing processes.

The ideal candidate will have at least 6 months of RCM experience, strong attention to detail, and excellent communication and documentation skills to ensure accurate patient records and compliant

Qualifikationen

• 6 months+ experience in Revenue Cycle Management (RCM)
• Experience in medical billing, claims processing, or AR follow-up
• Familiarity with CPT, ICD-10, HCPCS coding (basic to intermediate)
• Knowledge of US healthcare billing processes and payers
• Strong attention to detail
• Good communication and documentation skills

Aufgaben

• Handle end-to-end medical billing processes
• Submit and follow up on insurance claims (primary & secondary)
• Verify patient insurance eligibility and benefits
• Review, correct, and resubmit denied or rejected claims
• Post payments and reconcile EOBs/ERAs
• Ensure compliance with billing regulations and payer guidelines
• Maintain accurate patient and billing records
• Work with internal teams to resolve billing discrepancies

Kenntnisse

Attention to detail

Communication skills

Documentation skills

Tools

Medical billing software

EMR systems

Jobbeschreibung

Job SummaryWe are currently ramping up for the Medical Billing Specialist role. This position requires hands-on experience in Revenue Cycle Management (RCM). Candidates must have a minimum of 6 months relevant experience in medical billing or related RCM functions. Please note that applicants without prior RCM experience will not be considered for this role.

Job SummaryWe are currently ramping up for the Medical Billing Specialist role. This position requires hands-on experience in Revenue Cycle Management (RCM). Candidates must have a minimum of 6 months relevant experience in medical billing or related RCM functions. Please note that applicants without prior RCM experience will not be considered for this role.

Key Responsibilities

• Handle end-to-end medical billing processes
• Submit and follow up on insurance claims (primary & secondary)
• Verify patient insurance eligibility and benefits
• Review, correct, and resubmit denied or rejected claims
• Post payments and reconcile EOBs/ERAs
• Ensure compliance with billing regulations and payer guidelines
• Maintain accurate patient and billing records
• Work with internal teams to resolve billing discrepancies

Requirements

• Minimum of 6 months experience in Revenue Cycle Management (RCM)
• Proven experience in medical billing, claims processing, or AR follow-up
• Familiarity with CPT, ICD-10, and HCPCS coding (basic to intermediate level)
• Knowledge of US healthcare billing processes and insurance payers
• Strong attention to detail and accuracy
• Good communication and documentation skills

Nice to Have

• Experience with medical billing software or EMR systems
• Prior work with US healthcare providers or billing companies

Important Note

At this time, we have received applications from candidates without any RCM experience. Kindly note that only candidates who meet the minimum experience requirement will be shortlisted.