Medical Billing Specialist (ENG)

MedVirtual; Philippines; Remote; PHP 350,000 - 700,000; Full time

Job summary

MedVirtual is seeking a Medical Billing Specialist to manage the full billing cycle, including RCM and A/R, to optimize revenue for healthcare practices. You will handle claims, follow up on unpaid bills, and resolve denials to ensure timely reimbursement.

The role requires experience in medical billing, English communication proficiency, and knowledge of HIPAA. Experience with EHR systems and virtual tools is preferred. Remote work across US time zones is expected.

Qualifications

• Proven experience in medical billing with exposure to RCM and A/R processes.
• Experience with claim denial management and collections processes.
• Proficiency in English communication, both written and verbal.
• Proficient in virtual office tools, EHR systems, and communication platforms.
• Strong customer service and critical thinking skills.
• Understanding of HIPAA regulations and patient data confidentiality.
• Strong problem-solving skills and ability to work with minimal supervision.
• Willingness to work in US time zones (PST, EST, CST).
• High school diploma or equivalent.

Responsibilities

• Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed.
• Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue.
• Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments.
• Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement.
• Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA.

Skills

Medical billing experience

English communication

Customer service

Problem solving

Minimal supervision

HIPAA knowledge

Education

High school diploma or equivalent

Tools

EHR systems

Virtual tools

Communication platforms

Job description

The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end billing tasks to optimize revenue for healthcare practices.

Responsibilities

• Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed.
• Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue.
• Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments.
• Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement.
• Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA.

Requirements

• Proven experience in medical billing with exposure to RCM and A/R processes.
• Experience with claim denial management and collections processes.
• Proficiency in English communication, both written and verbal.
• Proficient in virtual office tools, EHR systems, and communication platforms.
• Strong customer service and critical thinking skills.
• Understanding of HIPAA regulations and the importance of patient data confidentiality.
• Strong problem-solving skills and ability to work with minimal supervision.
• Willingness to work in US time zones (PST, EST, CST).
• High school diploma or equivalent.