Remote Medical Billing & Claims Specialist

Winning Assistants LLC.; Hinoba-an; On-site; PHP 432,000 - 605,000; Full time

Job summary

Winning Assistants LLC is seeking a Medical Billing & Claims Specialist for a remote role supporting a US-based allergy and immunology practice. The candidate will handle claims posting, management, and denial resolution, ensuring compliance and accuracy while supporting the in-house billing team.

The position requires 2–3 years of hands-on medical billing experience, familiarity with ModuleMD and RXNT, and strong English communication.

Qualifications

• Minimum 2–3 years of medical billing experience.
• Hands-on claims posting experience is required.
• Strong experience managing claims for medical procedures is required.
• Experience working denied and rejected claims through resolution.
• Strong understanding of the medical billing and claims lifecycle.
• Ability to investigate claim issues and determine appropriate next steps.
• Experience handling complex billing scenarios.
• Strong understanding of billing accuracy, compliance, and confidentiality requirements.
• Ability to manage a high volume of claims while maintaining accuracy.
• Strong attention to detail and organizational skills.
• Able to work independently and consistently meet productivity expectations.
• Clear and professional written and spoken English.
• Reliable, accountable, and comfortable working as part of an established billing team.

Responsibilities

• Post and process medical claims accurately and efficiently.
• Manage claims related to medical procedures from submission through resolution.
• Review claims for completeness and accuracy before processing.
• Maintain accurate posting and billing records.
• Track claim status and follow up on outstanding claims.
• Help ensure claims are processed according to established billing and compliance requirements.
• Review and work denied or rejected claims.
• Identify reasons for denials and take appropriate corrective action.
• Resubmit or follow up on claims as necessary.
• Work toward successful claim overturns and reimbursement.
• Document denial actions and claim follow-up accurately.
• Identify recurring billing or denial issues when appropriate.
• Provide billing support to the existing in-house billing team.
• Assist with complex billing scenarios, including situations involving multiple patient reimbursements.
• Review payer information and billing documentation as needed.
• Maintain organized and accurate billing records.
• Follow established compliance and confidentiality requirements.

Skills

Medical billing

Claims posting

Claims management

Denial management

Denial resolution

HIPAA compliance

Attention to detail

English communication

Tools

ModuleMD

RXNT

Job description

Winning Assistants LLC is seeking a Medical Billing & Claims Specialist for a remote role supporting a US-based allergy and immunology practice. The candidate will handle claims posting, management, and denial resolution, ensuring compliance and accuracy while supporting the in-house billing team.

The position requires 2–3 years of hands-on medical billing experience, familiarity with ModuleMD and RXNT, and strong English communication.