Patient Billing & Financial Services Specialist

The Philippine Operations Center Global Solutions Inc.; Central Visayas; On-site; PHP 360,000 - 480,000; Full time

Job summary

The Philippine Operations Center Global Solutions Inc. is seeking a Patient Billing & Financial Services Specialist to support healthcare financial operations.

The role requires handling patient billing inquiries, explaining insurance coverage, and ensuring timely resolution of account concerns. The ideal candidate communicates clearly, explains billing concepts with empathy, and maintains accuracy while navigating medical billing processes.

Qualifications

• Associate’s degree or equivalent required.
• 2–7 years medical billing experience in ophthalmology or related settings.
• Experience with healthcare billing platforms preferred.

Responsibilities

• Serve as the primary contact for patient inquiries related to billing, payments, refunds, and account balances.
• Provide accurate and clear explanations of billing statements and account activity.
• Explain patient financial responsibilities including copays, deductibles, and non-covered services.
• Educate patients on insurance benefits and billing processes in a simplified manner.
• Investigate and resolve billing concerns by reviewing claims, payments, and account history.
• Identify discrepancies and escalate complex issues as needed.
• Process payments and ensure accurate documentation of all interactions.
• Assist patients with payment arrangements and available financial assistance programs.
• Maintain accurate patient information including demographics and account details.
• Ensure compliance with HIPAA and applicable healthcare regulations.
• Coordinate with internal teams such as insurance follow-up, coding, collections, and front office.
• Adhere to established workflows, quality standards, and performance metrics.

Skills

Communication

Customer service

Billing explanation

Analytical skills

Problem solving

EMR/EHR

MS Office

Multitasking

Attention to detail

Education

Associate’s degree or equivalent

Tools

EMR/EHR systems

Microsoft Office

Job description

Patient Billing & Financial Services Specialist

Position Overview:

We are looking for a detail-oriented and customer-focused Patient Billing & Financial Services Specialist to support healthcare financial operations. This role is responsible for managing patient billing inquiries, explaining insurance coverage, and ensuring accurate and timely resolution of account concerns.

The ideal candidate is a strong communicator with a solid understanding of medical billing processes, capable of delivering clear guidance while maintaining a high level of professionalism and empathy.

Key Responsibilities:

Patient Billing Support

• Serve as the primary contact for patient inquiries related to billing, payments, refunds, and account balances
• Provide accurate and clear explanations of billing statements and account activity

Insurance & Financial Guidance

• Explain patient financial responsibilities, including copays, deductibles, and non-covered services
• Educate patients on insurance benefits and billing processes in a simplified manner

Account Resolution

• Investigate and resolve billing concerns by reviewing claims, payments, and account history
• Identify discrepancies and escalate complex issues as needed

Payment Processing & Assistance

• Process payments and ensure accurate documentation of all interactions
• Assist patients with payment arrangements and available financial assistance programs

Records Accuracy & Compliance

• Maintain accurate patient information, including demographics and account details
• Ensure compliance with HIPAA and applicable healthcare regulations

Collaboration & Operations

• Coordinate with internal teams such as insurance follow-up, coding, collections, and front office
• Adhere to established workflows, quality standards, and performance metrics

Skills & Qualifications:

• Strong communication and customer service skills
• Ability to explain complex billing and insurance concepts clearly and professionally
• Detail-oriented with strong analytical and problem-solving abilities
• Ability to manage challenging conversations with composure
• Proficiency in EMR/EHR systems and Microsoft Office applications
• Strong organizational and multitasking skills

Minimum Requirements:

• Associate’s degree or equivalent
• At least 2-7 years medical billing experience, particularly in ophthalmology, ambulatory surgery centers, or physician practice settings
• Familiarity with insurance claims, billing processes, and patient collections is highly preferred
• Experience using healthcare systems and billing platforms
• Ability to work in a fast-paced, high-volume environment

Performance Metrics

• Patient satisfaction and service quality
• Call handling efficiency and responsiveness
• Timely resolution of billing inquiries
• Accuracy of account documentation
• Compliance with policies and procedures