Remote Medical Billing Specialist – Fertility Care

Hammerjack Pty Ltd; Philippines; On-site; PHP 606,000 - 841,000; Full time

Benefits offered by this job

Weekly salary payments

Salary growth

Remote work flexibility

Job summary

Hammerjack Pty Ltd in the Philippines is seeking a Medical Biller to own insurance billing and accounts receivable from claim review through final resolution. You’ll manage billing for commercial plans and work closely with carriers and patients to resolve claims, denials, and outstanding balances while receiving fertility-specific billing training and EMR knowledge.

You’ll review claims for accuracy, monitor status through the clearinghouse, and follow up on denials or appeals.

Qualifications

• Experience in healthcare insurance billing or prior authorizations.
• Detail-oriented with strong accuracy in billing practices.
• Able to follow up on claims, denials, and appeals.
• Strong organizational and time-management skills.

Responsibilities

• Manage prior authorizations, claims, denials, appeals, and A/R follow-up with commercial insurance carriers.
• Submit and manage prior authorizations for fertility treatments and related services.
• Review prepared claims for accuracy, including modifiers, provider details, diagnosis codes, authorization information, and other required fields.
• Submit claims through the clearinghouse and monitor their status.
• Investigate denied or unpaid claims, correct errors, resubmit claims, and handle appeals or supporting documentation when needed.
• Track outstanding claims, follow up with insurance carriers, and manage insurance A/R through payment or final resolution.
• Review EOBs to determine whether balances are the responsibility of insurance or the patient.
• Contact patients via phone call regarding copays, deductibles, outstanding balances, insurance decisions, and self-pay amounts, and clearly explain what they owe.
• Support payment posting and reconciliation as needed.
• Handle approximately 5–30 patient encounters or claims per day depending on volume and complexity.

Skills

Medical insurance billing

Denials & Appeals

Accounts receivable follow-up

Detail-oriented

Patient communication

Trainable

Job description

Hammerjack Pty Ltd in the Philippines is seeking a Medical Biller to own insurance billing and accounts receivable from claim review through final resolution. You’ll manage billing for commercial plans and work closely with carriers and patients to resolve claims, denials, and outstanding balances while receiving fertility-specific billing training and EMR knowledge.

You’ll review claims for accuracy, monitor status through the clearinghouse, and follow up on denials or appeals.