Medical Billing Specialist | US HMO | Get a 21K Signing Bonus

ISTA Personnel Solutions; Makati; On-site; PHP 379,000 - 580,000; Full time

Benefits offered by this job

Health insurance with dependents

Night differential 10%

Attendance bonus

Paid time off

Convertible to cash leave credits

Performance appraisal

Work-life balance

Career growth opportunities

Job summary

ISTA Solutions is seeking a Medical Billing Specialist to join our expanding team in the Philippines. You will handle patient outreach, discuss outstanding balances, and collaborate with insurers to resolve denials and discrepancies.

The role requires at least 1 year of BPO experience with US healthcare accounts, with knowledge of HMO billing. On-site work at Shaw, Mandaluyong, and the shift may include nights; we offer competitive pay and benefits, plus a culture focused on growth and work-life

Qualifications

• 1 year of BPO experience handling US healthcare accounts.
• Good working knowledge with HMO billing.
• Experience in Billing for SNF is a PLUS.
• Excellent written and verbal English communication skills.
• Knowledge on Revenue Cycle Management/accounts receivable is a PLUS.
• Amenable to work onsite in Shaw, Mandaluyong.
• Willing to work night shifts.

Responsibilities

• Contact patients via phone, email, or mail to discuss outstanding balances and explain charges.
• Work with insurance companies to resolve denials, rejections, or discrepancies for timely payment.
• Establish and negotiate payment plans with patients per policies.
• Confirm and update patient demographic and insurance information for accurate billing.
• Maintain detailed records of all communications and actions in the collections process.
• Stay informed about HIPAA, privacy laws, and billing regulations to ensure compliance.
• Provide exceptional customer service with empathy and professionalism.

Skills

US healthcare billing

BPO experience

HMO billing

English communication

Revenue Cycle Management

Job description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Account specific roles & responsibilities:

• Contact patients via phone, email, or mail to discuss outstanding balances, explain charges, and address any concerns or questions related to their bills.
• Work closely with insurance companies to resolve claims denials, rejections, or discrepancies, ensuring accurate and timely payment.
• Establish and negotiate payment plans with patients, based on their financial situation and organization policies.
• Confirm and update patient demographic and insurance information to ensure accurate billing.
• Maintain detailed records of all communications, payment arrangements, and actions taken in the collections process.
• Stay informed about healthcare billing regulations, compliance requirements, and privacy laws (e.g., HIPAA) to ensure all practices are in accordance with industry standards.
• Provide exceptional customer service, demonstrating empathy and professionalism in all interactions with patients and responsible parties.

• At least 1 year BPO experience handling US Healthcare account
• Good Working knowledge with HMO Billing
• Experience in Billing for SNF (Skilled Nursing Facility) is a PLUS
• Excellent written and verbal English communication skills
• Knowledge on Revenue Cycle Management/ Accounts Receivableis a PLUS
• Amenable to work onsite in Shaw, Mandaluyong
• Willing to work night shifts

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives