Remote Medical Billing & A/R Specialist

Agent; Philippines; Remote; PHP 701,000 - 841,000; Full time

Job summary

Agent is seeking a dependable Medical Billing & A/R Specialist to support our healthcare revenue cycle operations. This remote full-time role focuses on insurance billing, accounts receivable, claims follow-up, collections, denials, and appeals for U.S. healthcare services.

The ideal candidate will have experience with outpatient physical therapy billing or a strong healthcare revenue cycle background, and is comfortable working independently with attention to detail.

Qualifications

• Healthcare revenue cycle experience is required.
• Experience with U.S. healthcare insurance, medical billing, claims, and accounts receivable.
• Experience with claim follow-up, A/R management, collections, denials, and insurance correspondence.
• Experience preparing corrected claims and/or appeals.
• Working knowledge of U.S. healthcare insurance verification and authorization processes.
• Experience with patient accounts receivable and balance billing.
• Physical therapy or outpatient healthcare experience is strongly preferred.
• Strong written and verbal English communication skills.

Responsibilities

• Prepare, submit, review, and track insurance claims for timely and accurate reimbursement.
• Manage approximately 1,200–1,300 insurance claims per month as part of the billing team, with volume expected to grow.
• Monitor claim status and follow up with insurance payers on outstanding claims.
• Identify and resolve claim issues, discrepancies, and unpaid balances.
• Prepare and submit corrected claims and insurance appeals when needed.
• Work directly with insurance companies and use payer portals to verify claim status, eligibility, benefits, and other account information.
• Handle insurance correspondence and document relevant payer communications.
• Manage assigned A/R accounts and take ownership of each account through resolution.
• Follow up consistently on unresolved accounts and outstanding balances.
• Maintain accurate documentation of the last action taken, next action required, and follow-up date for unresolved accounts.
• Investigate payment discrepancies, denials, underpayments, and other reimbursement issues.
• Assist with patient accounts receivable, including balance billing and patient balance follow-up.
• Ensure unresolved accounts are actively worked and do not fall through the cracks.
• Perform insurance eligibility and benefits verification.
• Assist with insurance authorization processes and ensure required authorizations are properly tracked.
• Identify potential authorization or eligibility issues that may affect reimbursement.
• Handle secondary insurance claims and coordinate benefits when applicable.
• Assist with workers' compensation claims and related billing processes.
• Maintain accurate records of claims, payments, account status, and follow-up activity.
• Work closely with the existing billing team to divide responsibilities based on experience and strengths.
• Help improve and organize billing workflows and processes.
• Support process improvements and administrative tasks related to the practice's revenue cycle.

Skills

Healthcare revenue cycle

English communication

Independent work

Tools

PROMPT EMR

Job description

Agent is seeking a dependable Medical Billing & A/R Specialist to support our healthcare revenue cycle operations. This remote full-time role focuses on insurance billing, accounts receivable, claims follow-up, collections, denials, and appeals for U.S. healthcare services.

The ideal candidate will have experience with outpatient physical therapy billing or a strong healthcare revenue cycle background, and is comfortable working independently with attention to detail.