Patient Billing & Financial Services Specialist (ONSITE)

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

Patient Billing & Financial Services Specialist – Healthcare Account (ONSITE)

Job Overview

We are looking for a detail-oriented and experienced Patient Billing & Financial Services Specialist to support the billing and financial operations of our healthcare account.

This role focuses on the accurate management and review of patient accounts, medical billing, insurance claims, payments, adjustments, and outstanding balances. The successful candidate will investigate billing discrepancies, monitor account activity, and coordinate with relevant teams to ensure timely and accurate resolution of billing and insurance-related concerns.

The ideal candidate has hands‑on experience in medical billing and healthcare revenue cycle processes, with strong analytical skills, attention to detail, and the ability to work effectively in a high-volume environment.

This is an onsite position.

Key Responsibilities

Patient Billing & Account Management

• 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.

Insurance & Claims Management

• 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.

Payment & Adjustment Processing

• 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.

Billing Resolution & Follow‑up

• 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.

Patient Financial Support

• 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.

Quality, Compliance & Documentation

• 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.

Minimum Requirements

• Associate’s degree or equivalent qualification.
• At least 2–7 years of experience in medical billing, preferably in ophthalmology, ambulatory surgery centers (ASC), physician practices, or similar healthcare 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.

If you have strong medical billing experience and are ready to apply your expertise in a fast-paced healthcare BPO environment, we’d love to hear from you.