WFH Medical Billing and Collections Specialist

BruntWork; Metro Manila; Remote; PHP 1,583,000 - 2,463,000; Full time

Benefits offered by this job

Permanent work from home

Immediate hiring

Health Insurance Coverage for eligible

Job summary

BruntWork is seeking a Medical Billing & Collections Specialist for a remote role to manage billing, submissions, and follow-up with insurers and patients. You will verify eligibility, investigate denials, and communicate claim status while meeting productivity goals.

The ideal candidate has at least 3 years in medical billing, proficiency with billing software, and strong knowledge of CPT/ICD-10/HCPCS coding standards. A reliable internet connection and VPN access are required.

Qualifications

• Minimum of 3 years of experience in medical billing and collections.
• Proficiency in medical billing software as well as Microsoft Word and Excel for data entry and basic reporting.
• In-depth knowledge of CPT, ICD-10, and HCPCS coding systems, with a working understanding of eligibility and authorization processes.
• Reliable internet connection and VPN access, with a Windows OS device required.
• Experience using payer websites to review claim status and support collections follow-up.

Responsibilities

• Verify patient demographics, insurance eligibility, and billing information to ensure accurate claim submission.
• Review claims for accuracy and compliance with payer guidelines while researching and resolving billing discrepancies.
• Maintain knowledge of CPT, ICD-10, and HCPCS coding standards to support billing processes.
• Follow up on unpaid or underpaid claims, monitor aging reports, and prioritize accounts for timely resolution.
• Investigate claim denials, identify root causes, and submit appeals with supporting documentation.
• Communicate with insurance carriers and patients regarding claim status, reimbursements, outstanding balances, and payment arrangements.
• Document collection activities, meet productivity goals, and assist with accounts receivable reduction projects.

Skills

Medical billing experience

Attention to detail

Communication skills

VPN and remote work readiness

Tools

Medical billing software

Microsoft Word

Excel

eClinicalWorks

Job description

Job Overview

Our client is looking for a dedicated Medical Billing & Collections Specialist to manage medical billing and collections, ensure accurate claim submission, resolve discrepancies, and follow up on unpaid claims. In this remote role, you will verify patient eligibility, investigate denials, submit appeals, and communicate with insurance carriers and patients to maintain efficient revenue cycle operations.

Schedule

Monday - Friday, 8:30 AM - 5PM PST with 1 hour unpaid break · PST

Responsibilities

• Verify patient demographics, insurance eligibility, and billing information to ensure accurate claim submission.
• Review claims for accuracy and compliance with payer guidelines while researching and resolving billing discrepancies.
• Maintain knowledge of CPT, ICD-10, and HCPCS coding standards to support billing processes.
• Follow up on unpaid or underpaid claims, monitor aging reports, and prioritize accounts for timely resolution.
• Investigate claim denials, identify root causes, and submit appeals with supporting documentation.
• Communicate with insurance carriers and patients regarding claim status, reimbursements, outstanding balances, and payment arrangements.
• Document collection activities, meet productivity goals, and assist with accounts receivable reduction projects.

Requirements

• Minimum of 3 years of experience in medical billing and collections.
• Proficiency in medical billing software as well as Microsoft Word and Excel for data entry and basic reporting.
• In-depth knowledge of CPT, ICD-10, and HCPCS coding systems, with a working understanding of eligibility and authorization processes.
• Reliable internet connection and VPN access, with a Windows OS device required.
• Experience using payer websites to review claim status and support collections follow-up.

Nice to Have

• Certified Professional Coder (CPC) certification is a plus.
• Proficiency in eClinicalWorks is preferred.

Independent Contractor Perks

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