Onsite Medical Billing & Patient Accounts Specialist

The Philippine Operations Center Global Solutions Inc.; Central Visayas; On-site; PHP 240,000 - 420,000; Full time

Job summary

The Philippine Operations Center Global Solutions Inc. is seeking a detail-oriented Patient Billing & Financial Services Specialist to support the healthcare account billing operations onsite.

You will review patient statements, process payments, and coordinate with insurance follow-up to ensure accurate balances and timely resolution. The role requires hands-on medical billing experience, familiarity with EHR/EMR systems, and strong analytical and communication skills.

Qualifications

• Associate’s degree or equivalent qualification.
• 2–7 years of experience in medical billing, preferably in ophthalmology, ASC, physician practices, or similar settings.
• Strong familiarity with healthcare insurance claims, medical billing processes, patient balances, and collections.
• Experience using EHR/EMR systems, medical billing software, and healthcare platforms.
• Knowledge of insurance benefits, claim processing, payment posting, adjustments, and denial management is highly preferred.
• Experience handling U.S. healthcare accounts is an advantage.
• Strong attention to detail and ability to accurately review financial and patient account information.
• Strong analytical and problem‑solving skills, particularly when investigating account discrepancies.
• Good verbal and written communication skills.
• Strong organizational skills and ability to manage multiple accounts or priorities.
• Ability to work effectively in a fast‑paced, high-volume healthcare environment.
• Willingness to work onsite and comply with established company and client requirements.

Responsibilities

• Review patient accounts, billing statements, charges, payments, adjustments, and outstanding balances.
• Ensure patient accounts are accurately updated and properly documented.
• Investigate discrepancies between billed amounts, insurance payments, adjustments, and patient balances.
• Review account history and supporting documentation to determine appropriate billing actions.
• Monitor assigned accounts and follow up on outstanding or unresolved balances.
• Maintain accurate and complete account notes and billing documentation.
• Review insurance claims and related account activity for accuracy and completeness.
• Monitor claim status and follow up on unpaid, partially paid, or denied claims.
• Investigate claim discrepancies and identify missing or incorrect information.
• Review insurance payments, contractual adjustments, and patient responsibility amounts.
• Assist with resolving claim-related issues in coordination with insurance follow-up and other internal teams.
• Apply knowledge of insurance benefits and coverage when reviewing patient accounts.
• Process and/or verify patient and insurance payments according to established procedures.
• Ensure payments, adjustments, and account corrections are accurately reflected in the billing system.
• Review remaining patient balances following insurance processing.
• Assist in identifying payment discrepancies and coordinate corrections when necessary.
• Maintain proper documentation of financial transactions and account updates.
• Investigate billing concerns by reviewing claims, payment history, account activity, and supporting records.
• Identify the appropriate next steps for unresolved billing issues.
• Follow up on assigned accounts within established timelines.
• Escalate complex billing, insurance, or account concerns to the appropriate department.
• Coordinate with billing, collections, coding, insurance follow-up, and clinic teams to support account resolution.
• Provide clear explanations of billing statements, account balances, insurance payments, and patient financial responsibility when required.
• Explain applicable financial concepts such as copayments, deductibles, coinsurance, and non‑covered services.
• Respond professionally to billing and payment‑related inquiries.
• Assist patients with questions regarding outstanding balances, payments, and account activity.
• Handle sensitive financial and patient information with confidentiality and professionalism.
• Maintain accurate and complete billing and patient account records.
• Follow established medical billing workflows, quality standards, and client procedures.
• Ensure proper documentation of account reviews, billing actions, and communications.
• Protect confidential patient and financial information in accordance with applicable privacy and compliance requirements.
• Meet established standards for accuracy, productivity, turnaround time, and quality.

Skills

Medical billing experience

Attention to detail

Analytical skills

Communication skills

High-volume environment

Education

Associate's degree or equivalent qualification

Tools

EHR/EMR systems

Medical billing software

Job description

The Philippine Operations Center Global Solutions Inc. is seeking a detail-oriented Patient Billing & Financial Services Specialist to support the healthcare account billing operations onsite.

You will review patient statements, process payments, and coordinate with insurance follow-up to ensure accurate balances and timely resolution. The role requires hands-on medical billing experience, familiarity with EHR/EMR systems, and strong analytical and communication skills.