Remote Billing & Settlements Specialist

Horizonccm; Philippines; On-site; PHP 490,000 - 697,000; Full time

Job summary

Horizon Case Management Corp. is seeking a Billing & Settlements Specialist to manage billing, collections and settlements for personal injury and other claims.

This role requires meticulous attention to detail, communication with attorneys and insurers, and the ability to work independently in a remote setting. You will track invoices, prepare billing documents, monitor payment status, negotiate settlements, maintain compliant records, and collaborate with Case Managers, Finance, and

Qualifications

• Excellent written and verbal English communication.
• Strong and professional phone presence.
• Excellent organizational and time-management abilities.
• Strong attention to detail and accuracy.
• Ability to work independently and manage multiple priorities.
• Strong problem-solving and negotiation skills.
• Proficiency with Microsoft Office, Google Workspace, email, and web-based platforms.
• Reliable internet connection and a quiet home office environment.

Responsibilities

• Track and manage outstanding invoices and accounts receivable related to injury and litigated claims.
• Prepare, review, and submit accurate billing documentation to insurance adjusters, attorneys, and third-party payers.
• Monitor claim activity and payment status to ensure timely processing and reimbursement.
• Identify and address billing issues, discrepancies, and payment delays.
• Follow up with insurance carriers, adjusters, attorneys, and other responsible parties regarding unpaid or disputed claims.
• Negotiate settlements and payment agreements while maintaining professional relationships.
• Manage collection efforts and document all communications and outcomes.
• Escalate unresolved collection matters to management as appropriate.
• Maintain accurate and detailed records of billing, collections, settlements, and communications.
• Ensure all activities comply with HIPAA regulations, confidentiality requirements, and company policies.
• Organize and maintain claim-related documentation and supporting records.
• Stay informed regarding billing procedures, legal processes, and industry best practices.
• Work closely with Case Managers, Finance, Operations, and Leadership teams to resolve billing concerns.
• Communicate claim updates and collection progress to internal stakeholders.
• Prepare regular reports on outstanding balances, settlements, collection efforts, and payment recovery metrics.
• Assist with special projects and process improvement initiatives aimed at increasing collections efficiency.

Job description

Horizon Case Management Corp. is seeking a Billing & Settlements Specialist to manage billing, collections and settlements for personal injury and other claims.

This role requires meticulous attention to detail, communication with attorneys and insurers, and the ability to work independently in a remote setting. You will track invoices, prepare billing documents, monitor payment status, negotiate settlements, maintain compliant records, and collaborate with Case Managers, Finance, and