Remote Medical Billing Specialist for Pediatric Care

Hammerjack Pty Ltd; Philippines; On-site; PHP 2,513,000 - 4,397,000; Full time

Job summary

Rockstar is seeking a dedicated Medical Billing Specialist to join our partner's growing healthcare practice in a remote role. This full-time position focuses on billing, claim management, insurance verification, and client communication, with a strong emphasis on accuracy and efficiency.

The ideal candidate will have at least 3 years of US medical billing experience, including out-of-network work, and be fluent in professional English.

Qualifications

• Minimum 3 years of US medical billing experience, with at least 1 year out-of-network work.
• Experience managing a caseload of 200+ active patients with recurring visit schedules.
• Fluent, professional English with US payer communication.
• Proficient with eligibility portals and clearinghouses (Availity/ClaimMD) and EMR systems.
• Experience in pediatric therapy billing and with CPT/time-based codes is a plus.

Responsibilities

• Review charges for accuracy before submission and catch errors upstream.
• Submit, scrub, and track claims through to payment.
• Post ERAs and reconcile payments and identify underpayments.
• Build and pursue appeals with supporting documentation.
• Manage patient balances and communications with empathy.
• Document payer conversations with dates, references, outcomes.

Skills

US medical billing

Payer follow-up

Excel/Sheets

EMR systems

Time management

Tools

Availity

ClaimMD

Practice Pro

IntakeQ

Microsoft Office 365

Zoom

Job description

Rockstar is seeking a dedicated Medical Billing Specialist to join our partner's growing healthcare practice in a remote role. This full-time position focuses on billing, claim management, insurance verification, and client communication, with a strong emphasis on accuracy and efficiency.

The ideal candidate will have at least 3 years of US medical billing experience, including out-of-network work, and be fluent in professional English.