Senior Medical Billing Specialist | Work From Home

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 a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Senior Medical Billing Specialist who will be working with Connext's Client in the United States of America.

What's in it for you?

• Competitive Compensation
• Perfect Attendance Bonus
• Life Insurance
• HMO Insurance
• Great Company Culture
• Annual Increase
• Mid-Year Bonus

What is the job?

The Senior Medical Billing Specialist t is responsible for managing the billing process for healthcare services, including the verification of claim status, correction of denied claims, correspondence with insurance providers, and handling patient accounts.

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.

Qualifications:

• Bachelor’s degree in a related field or equivalent combination of education and related work experience.
• At least two (2) to four (4) years of experience in medical billing.
• Familiarity with claim denials, insurance policies, and reimbursement procedures.
• Experience using medical billing software and insurance platforms.
• Meticulous attention to detail to ensure accuracy in all claims, patient, and insurance data.
• Ability to identify and resolve issues with claims and billing discrepancies.
• Must have a stable employment history.

Be part of a growing global team that values innovation, collaboration, and professional growth.