Medical Billing Specialist - Night Shift + Bonuses

Connext Global Solutions Inc; Central Luzon; Remote; PHP 420,000 - 540,000; Full time

Job description

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world‑class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Medical Billing Specialist who will be working with Connext's Client in the United States of America.

What's in it for you?

• 25% Night Differential

• Perfect Attendance Bonus

• Mid-year Bonus!

• Competitive compensation

• Life insurance

• HMO Insurance

• Great company culture

What is the job?

The Medical Billing Specialist is responsible in supporting the billing operations of a U.S. based eye care practice, with a primary focus on charge review and entry, ensuring provider documentation is accurately reflected in the billing system and prepared for clean claim submission.

Responsibilities:

• Review and validate patient charges against provider documentation, services, appointments, and insurance information.
• Review CPT and ICD-10 codes, modifiers, diagnoses, and documentation for billing accuracy and completeness.
• Identify and resolve claim edits, coding discrepancies, and billing issues before claim submission.
• Apply payer requirements, process payments, assist with claims submission, and support AR follow-up.
• Coordinate with providers and U.S.-based billing teams to clarify documentation and resolve billing concerns.
• Maintain accurate billing records, process high-volume transactions, and ensure HIPAA and PHI compliance.

Qualifications:

• Minimum of two (2) years of experience supporting U.S. medical billing or revenue cycle operations.
• Experience with medical charge entry and/or charge review.
• Familiarity with U.S. insurance billing requirements, including commercial and government payers.
• Has working knowledge in CPT and ICD-10 coding.
• Proven ability to review clinical documentation and identify information relevant to billing.
• Proven ability to work independently while collaborating effectively with a remote U.S. based team.