Medical Billing Specialist: Clean Claims, Efficient Submissions

Eastvantage Group; Quezon City; On-site; PHP 279,000 - 469,000; Full time

Job summary

Eastvantage Group is seeking a Billing Specialist in the Philippines to ensure accurate and timely submission of claims to payers, with a focus on clean claim rates and compliance.

The role emphasizes precise claim preparation, documentation, and collaboration with internal teams to standardize billing practices and improve efficiency. Strong knowledge of Medicaid/Medicare/VA coverage and payer requirements is a plus.

Qualifications

• Experience in initial claims submission; creating clean claims from scratch is highly required.
• Customer service experience preferred
• Excellent follow-up, time management, and communication skills required
• Proficiency in MS Office Suite (Outlook, Word, Excel) is required
• Familiar with Careclaim MB software (prefer)
• Back-office support & Email customer invoicing

Responsibilities

• Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles.
• Ensure all claim details are complete and error-free, including coding, provider information, and service dates.
• Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations
• Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections.
• Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission.
• Ensure compliance with industry regulations, payer policies, and internal billing procedures.
• Maintain accurate and organized billing records and documentation
• Identify and report billing trends, potential errors, and areas for process improvement.
• Collaborate with internal teams to standardize billing practices and enhance efficiency.
• Support billing audits and internal quality control measures
• Other duties as assigned.

Skills

Customer service

Attention to detail

Time management

Communication

MS Office

Tools

Careclaim MB

Billing software

Job description

Eastvantage Group is seeking a Billing Specialist in the Philippines to ensure accurate and timely submission of claims to payers, with a focus on clean claim rates and compliance.

The role emphasizes precise claim preparation, documentation, and collaboration with internal teams to standardize billing practices and improve efficiency. Strong knowledge of Medicaid/Medicare/VA coverage and payer requirements is a plus.