Medical Billing Specialist

ActionLabs IT Services Phils. Corp; Quezon City; On-site; PHP 279,000 - 390,600; Full time

Benefits offered by this job

HMO

Employee Discount

Health & Wellness Insurance

Professional Development

Job summary

ActionLabs IT Services Phils. Corp. seeks a Medical Biller Specialist to manage end-to-end billing for a Texas-based client. The role requires US healthcare billing experience, strong CPT/ICD-10 knowledge, and meticulous attention to detail.

You will handle claims submission, denials, and AR follow-up in a fast-paced environment, coordinating with insurers and internal teams to ensure timely reimbursements.

Qualifications

• At least 1 year of experience in US Healthcare Billing or Revenue Cycle Management (RCM).
• Strong background in Medical Billing, Claims Submission & Rebilling, Insurance Verification / Coordination, Payment Posting Validation, Denial Review / Basic Claims Resolution, and Accounts Receivable (AR) follow-up
• Familiarity with clearinghouse systems, EMR/EHR platforms, and payer portals;
• Understanding of CPT, ICD-10, HCPCS, and general medical billing workflows;
• Strong attention to detail and accuracy;
• Good analytical and problem-solving skills;
• Excellent English communication skills (written and verbal);
• Ability to work in a fast-paced, metrics-driven healthcare support environment;

Responsibilities

• Prepare, review, and submit accurate medical claims to insurance payers and clearinghouses;
• Ensure timely billing of services rendered in accordance with payer and client requirements;
• Verify claim details, billing codes, patient information, and documentation prior to submission.
• Monitor claim status and follow up on pending, denied, or unpaid claims;
• Perform claim corrections, rebilling, and resubmissions as needed;
• Coordinate with insurance providers, healthcare facilities, and internal teams regarding billing discrepancies;
• Review Explanation of Benefits (EOBs) and payment remittances;
• Support payment posting validation and reconciliation activities;
• Identify billing issues, trends, and process gaps for escalation;
• Maintain accurate documentation of billing activities, claim actions, and payer communications;
• Ensure compliance with healthcare billing regulations, payer guidelines, and internal workflows;

Skills

US Healthcare Billing

Revenue Cycle Mgmt

Medical Billing

Claims Submission

Rebilling

Insurance Verification

Payment Posting

Denial Management

AR Follow-up

Detail-Oriented

English Skills

Tools

Clearinghouse systems

EMR/EHR platforms

Payer portals

Job description

Hybrid - Quezon City 1-3 Yrs Exp Bachelor Full-time

Job Description

Employee Recognition and Rewards

Government Mandated Benefits

Insurance Health & Wellness

HMO

Employee Discount

Professional Development

Who we are?

ActionLabs is composed of IT experts committed to providing end-to-end IT services and solutions. We stand at the intersection of technology and partnership, helping enterprises navigate complex IT landscapes with confidence.

With more than a decade of experience, trusted technology partners, nationwide presence, and a team of competent industry professionals, we aim to deliver managed services anytime, anywhere, to help businesses excel in their respective fields with improved internal and external operations.

Position Summary

The Medical Biller Specialist will be responsible for managing end-to-end billing activities for healthcare claims, ensuring timely and accurate submission, payment follow-up, and reimbursement processing for a Texas-based healthcare client. This role supports revenue cycle efficiency by handling medical billing transactions, claim corrections, insurance coordination, and payment reconciliation while maintaining compliance with healthcare billing standards.

Key Responsibilities

• Prepare, review, and submit accurate medical claims to insurance payers and clearinghouses;
• Ensure timely billing of services rendered in accordance with payer and client requirements;
• Verify claim details, billing codes, patient information, and documentation prior to submission.
• Monitor claim status and follow up on pending, denied, or unpaid claims;
• Perform claim corrections, rebilling, and resubmissions as needed;
• Coordinate with insurance providers, healthcare facilities, and internal teams regarding billing discrepancies;
• Review Explanation of Benefits (EOBs) and payment remittances;
• Support payment posting validation and reconciliation activities;
• Identify billing issues, trends, and process gaps for escalation.
• Maintain accurate documentation of billing activities, claim actions, and payer communications;
• Ensure compliance with healthcare billing regulations, payer guidelines, and internal workflows.

Qualifications

• At least 1 year of experience in US Healthcare Billing or Revenue Cycle Management (RCM);
• Strong background in Medical Billing, Claims Submission & Rebilling, Insurance Verification / Coordination, Payment Posting Validation, Denial Review / Basic Claims Resolution, and Accounts Receivable (AR) follow-up
• Familiarity with clearinghouse systems, EMR/EHR platforms, and payer portals;
• Understanding of CPT, ICD-10, HCPCS, and general medical billing workflows;
• Strong attention to detail and accuracy;
• Good analytical and problem-solving skills;
• Excellent English communication skills (written and verbal);
• Ability to work in a fast-paced, metrics-driven healthcare support environment;

Claims Processing CPT and ICD-10 EMR and/or EHR HIPAA AR