Senior Medical Billing Specialist: Claims & Denials Expert

Connext; Philippines; On-site; PHP 480,000 - 780,000; Full time

Benefits offered by this job

Competitive Compensation

Perfect Attendance Bonus

Life Insurance

HMO Insurance

Great Company Culture

Annual Increase

Mid-Year Bonus

Job summary

Connext is seeking a Senior Medical Billing Specialist to join a client project in the United States. The role focuses on managing healthcare billing, claim verification, denial correction, and interactions with insurance providers, with responsibility for patient accounts.

You’ll contribute to accuracy, timely submissions, and compliance while working within a Growing global team that values innovation and collaboration.

Qualifications

• Bachelor’s degree or equivalent education/experience.
• 2–4 years of medical billing experience.
• Familiar with claim denials and reimbursement procedures.
• Proficient with medical billing software and insurance platforms.
• Meticulous attention to detail to ensure accuracy in claims.
• Stable employment history.

Responsibilities

• Submit accurate therapy-related insurance claims, ensuring proper coding and documentation.
• Monitor claim status through insurance portals and provide updates on outstanding issues.
• Review, investigate, and resolve denied or rejected claims through the Waystar system.
• Correct and resubmit denied claims, ensuring all required information is complete.
• Coordinate with insurance companies regarding claim discrepancies, eligibility, coverage, and unpaid claims.
• Generate and review monthly facility and patient statements, addressing outstanding balances and discrepancies.
• Process patient and insurance refunds, write-offs, and voids while maintaining accurate account records.

Skills

Medical Billing

Claims Denials

Reimbursements

Billing Software

Attention to detail

Issue Resolution

Education

Bachelor's degree or equivalent

Tools

Waystar system

Insurance platforms

Job description

Connext is seeking a Senior Medical Billing Specialist to join a client project in the United States. The role focuses on managing healthcare billing, claim verification, denial correction, and interactions with insurance providers, with responsibility for patient accounts.

You’ll contribute to accuracy, timely submissions, and compliance while working within a Growing global team that values innovation and collaboration.