Medical Billing Specialist-Payment Posting

Sourcefit; Quezon City; Remote; PHP 335,000 - 614,000; Full time

Job summary

Sourcefit is seeking a Medical Billing Specialist - Payment Posting to ensure timely and accurate payment processing for US healthcare client services. This role is work-from-home and follows a Monday to Friday schedule with Philippine time hours, preferably residing in the metro area.

Responsibilities include posting payments, addressing underpayments, coding with CPT/ICD-10, submitting to clearinghouses, and communicating with payers and patients to verify eligibility and follow up on claims.

Qualifications

• At least 3 years of experience in US healthcare.
• Knowledge of CPT, HCPCS codes and ICD-10.
• Familiarity with Revenue Cycle Management systems and PMS tools.
• Experience coordinating with insurance companies.
• Ability to read and interpret EOBs (Explanation of Benefits).
• Excellent communication and time-management skills.

Responsibilities

• Process payments received and create batches for posting.
• Identify underpayments and prepare appeals documents.
• Code claims with CPT and ICD-10 codes.
• Submit claims to clearinghouses and review corrections.
• Communicate with patients, providers, and payers on eligibility and follow-ups.
• Perform other duties as assigned by management.

Skills

US healthcare experience

Billing code knowledge

RCM familiarity

PMS familiarity

Tools

RCM systems

PMS

Job description

TheMedical Billing Specialist-Payment Postingis responsible for ensuring the timely and accurate payment of medical services rendered to our client's patients. This includes charge entry, collecting payments from insurance companies, and providing exceptional customer service.

Job Details:

• Medical Billing Specialist- Payment Posting
• Work from home
• Monday to Friday | 8:00 PM-5:00 AM Philippine Time

*Candidates who are residing in the metro area are preferred.

Responsibilities:

• Process payments received and create batches for posting.
• Identify underpayments and prepare appeals documents.
• Code claims accordingly with CPT and ICD 10s codes.
• Submit claims to clearinghouses and update or review claims corrections.
• Communicate with patients, providers, and payers to check eligibility, pre-certify, or follow up on claims and appeals
• Perform other duties as assigned by management

Qualifications:

• At least 3 years of experience in US Healthcare.
• Knowledge of medical billing codes, including CPT and HCPCS coding, claims modifiers, and ICD-10 diagnosis coding
• Familiarity with Revenue Cycle Management (RCM) systems, Practice Management Systems (PMS), and tools.
• Understanding of different types of insurance coverages and claims, including Health, Workers' Comp, and Auto
• Ability to read and interpret EOBs (Explanation of Benefits)
• Experience with coordinating with insurance companies.
• Strong adaptability and ability to learn quickly
• Proven efficiency and punctuality in completing tasks.