Medical Billing Specialist: Claims & Compliance

Infinit-O; Philippines; On-site; PHP 240,000 - 360,000; Full time

Job summary

Infinit-O in the Philippines is seeking a Medical Biller to process and submit insurance claims, verify patient coverage, and handle inbound calls about denials and billing questions.

You will review records for compliance, follow up on unpaid claims, and communicate with insurers, providers, and patients to resolve issues while keeping accurate billing documentation and staying current with coding regulations.

Qualifications

• Experience in medical billing and claims processing is required.
• Proficient in English (CEFR B2) and written communication.
• Knowledge of billing regulations and coding standards.

Responsibilities

• Process and submit medical claims to insurance companies accurately and efficiently.
• Verify patients' insurance coverage and eligibility for medical services.
• Handle inbound calls regarding claim denials and general billing inquiries.
• Review medical records and documentation to ensure regulatory compliance.
• Follow up on unpaid or denied claims and resubmit as needed.
• Communicate with insurers, healthcare providers, and patients to resolve billing inquiries.
• Generate and send patient statements for outstanding balances.
• Maintain accurate billing records and documentation in compliance with privacy laws.
• Stay informed about changes in medical billing codes and regulations.
• Collaborate with billing staff and providers to improve revenue cycle management.

Skills

Medical billing knowledge

Inbound calls

Communication skills

Attention to detail

Problem solving

Microsoft Office

Education

College level / undergraduate

Tools

Microsoft Office

Job description

Infinit-O in the Philippines is seeking a Medical Biller to process and submit insurance claims, verify patient coverage, and handle inbound calls about denials and billing questions.

You will review records for compliance, follow up on unpaid claims, and communicate with insurers, providers, and patients to resolve issues while keeping accurate billing documentation and staying current with coding regulations.