Remote Medical Billing Specialist – Payments & Denials

Neolytix; Pasig; On-site; PHP 279,000 - 446,400; Full time

Benefits offered by this job

Paid Training

WFH

Midshift Schedule

HMO

13th month pay

Paid Leaves

Holiday Pay

Diverse team across countries

Job summary

Neolytix is seeking a Medical Billing Specialist to post charges, payments, and journal entries accurately in patient accounts. You will collaborate with insurance companies, healthcare providers, and patients to process and pay claims, verify insurance data, and ensure HIPAA compliance while handling PHI.

Responsibilities include transmitting claims via electronic and paper channels, following up on unpaid claims, researching denied claims, and waiving no standard workflows.

Qualifications

• Knowledge of insurance guidelines including HMO/PPO, Medicare, and Medicaid.
• Ability to handle protected health information in a HIPAA-compliant manner.
• Experience posting medical charges, payments, and journal entries.
• Strong accuracy and timely processing in a billing environment.

Responsibilities

• Post medical charges, payments, and journal entries to patient accounts.
• Work with insurance companies, providers, and patients to secure claims.
• Verify insurance information and patient data for accurate filing.
• Prepare and transmit claims via electronic and paper means.
• Follow up on unpaid claims within standard cycles.
• Research and appeal denied claims when needed.
• Ensure quality and productivity standards are met.
• Manage HIPAA-compliant handling of PHI.
• Check eligibility and benefit verification; review bills for completeness.
• Understand guidelines for HMO/PPO, Medicare, and Medicaid.

Skills

Medical billing

Insurance claim processing

HIPAA compliance

Claims follow-up

Charge entry

Tools

PMS

Billing software

Job description

Neolytix is seeking a Medical Billing Specialist to post charges, payments, and journal entries accurately in patient accounts. You will collaborate with insurance companies, healthcare providers, and patients to process and pay claims, verify insurance data, and ensure HIPAA compliance while handling PHI.

Responsibilities include transmitting claims via electronic and paper channels, following up on unpaid claims, researching denied claims, and waiving no standard workflows.