Remote Hospital Billing Specialist | Denials & A/R Expert

BizForce; Metro Manila; Remote; PHP 279,000 - 469,000; Full time

Benefits offered by this job

Permanent Work From Home

Leave Credits

Monetary Allowance

Annual Bonus

Weekly Paychecks

Fixed Weekends Off

Thriving Company Culture with Complete

Autonomy

Job summary

BizForce, a fast-growing outsourcing company, is hiring a Hospital Billing Representative in a remote setup. The role focuses on insurance claim follow-up, denial management, and reducing accounts receivable to ensure timely reimbursement.

The ideal candidate has 2+ years in hospital billing or medical billing, familiarity with CPT/ICD-10/HCPCS, and strong payer knowledge, with the ability to work US hours from the Philippines.

Qualifications

• 2+ years of experience in hospital billing, hospital collections, or medical billing/collections
• Familiarity with CPT, ICD-10, and HCPCS coding systems
• Experience working with hospital billing systems, EHRs, or revenue cycle platforms
• Strong understanding of payer requirements and denial resolution strategies
• Experience handling high-volume A/R follow-up and insurance collections
• Knowledge of hospital revenue cycle workflows and reimbursement processes
• Hands‑on experience with insurance claims follow‑up and denial management
• Working knowledge of Medicare, Medicaid, and commercial insurance processes

Responsibilities

• Perform timely follow-up on outstanding hospital and insurance claims to secure reimbursement
• Contact Medicare, Medicaid, and commercial insurance payers to verify claim status and resolve payment issues
• Review denied and underpaid claims, identify root causes, and determine appropriate resolution
• Prepare and submit accurate claim appeals with required supporting documentation
• Research payer guidelines and requirements to resolve billing and reimbursement issues
• Review A/R aging reports and prioritize accounts based on balance, age, and urgency

Skills

A/R follow-up

Insurance collections

Denial management

HIPAA knowledge

EHR experience

Billing systems

Education

High school diploma or equivalent

Job description

BizForce, a fast-growing outsourcing company, is hiring a Hospital Billing Representative in a remote setup. The role focuses on insurance claim follow-up, denial management, and reducing accounts receivable to ensure timely reimbursement.

The ideal candidate has 2+ years in hospital billing or medical billing, familiarity with CPT/ICD-10/HCPCS, and strong payer knowledge, with the ability to work US hours from the Philippines.