WFH Insurance Claims Specialist (AdvancedMD)

BruntWork; Metro Manila; Remote; PHP 2,647,000 - 4,033,000; Full time

Benefits offered by this job

Permanent work from home

Immediate hiring

Health Insurance Coverage for eligible

Job summary

BruntWork is seeking a Back Office Insurance Support Specialist to streamline insurance operations for a healthcare organization. This full-time remote role handles medical claims submission, complex appeals, payment postings, and follow-ups using AdvancedMD, ensuring timely reimbursement.

You will work during US Eastern Time business hours, coordinate with in-house staff, and maintain accurate documentation while adapting to increasing workload in a virtual setting.

Qualifications

• Experience in medical billing or insurance claim processing.
• Familiarity with EHR systems.
• Strong attention to detail and paperwork management.
• Excellent organizational and time management abilities.
• Understanding of insurance policies and procedures.
• Adaptability to handle increasing workload.
• Ability to work independently in a virtual setting.

Responsibilities

• Submit and process insurance claims using the AdvancedMD system.
• Handle complex appeals, especially for providers like Cigna.
• Manage charge submissions and claim follow-ups.
• Contribute to insurance program expansion and improvement.
• Respond promptly to insurance-related inquiries.
• Collaborate with in-house staff to optimize processes.

Skills

Medical billing

Insurance claim processing

EHR systems

Attention to detail

Organizational skills

Time management

Independent remote work

Tools

AdvancedMD

Job description

Job Overview

Our client is seeking a dedicated Back Office Insurance Support Specialist to streamline insurance operations for an expanding healthcare organization. In this full-time remote role, you will submit and process medical claims, handle complex appeals, manage payment postings, and complete claim follow-ups. You will utilize advanced electronic health record systems to ensure timely reimbursement and maintain accurate paperwork. Operating during US Eastern Time business hours, this position directly supports patient access to innovative therapies.

Schedule

Monday - Friday, 8:00 AM - 4:30 PM EST, with 30-minute unpaid break (40 work hours per week)

Responsibilities

• Submit and process insurance claims using the AdvancedMD system.
• Handle complex appeals, especially for providers like Cigna.
• Manage charge submissions and claim follow-ups.
• Contribute to insurance program expansion and improvement.
• Respond promptly to insurance-related inquiries.
• Collaborate with in-house staff to optimize processes.

Requirements

• Experience in medical billing or insurance claim processing.
• Familiarity with EHR systems.
• Strong attention to detail and paperwork management skills.
• Excellent organizational and time management abilities.
• Understanding of insurance policies and procedures.
• Adaptability to handle increasing workload.
• Ability to work independently in a virtual setting.

Qualifications

• Knowledge of AdvancedMD is a plus.

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations