Medical Billing Specialist (BIL)

[ Kindly submit your updated English resume ]

The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end billing tasks to optimize revenue for healthcare practices.

Key Responsibilities

• End-to-End Revenue Cycle Management (RCM): Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed.

• Accounts Receivable (A/R) Collections: Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue.

• Claims Denial Investigation and Resolution: Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments.

• Claims Resubmission and Correction: Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement.

• Documentation and Compliance: Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA.

Requirements

• Proven experience in medical billing with exposure to RCM and A/R processes.

• Experience with claim denial management and collections processes.

• Proficiency in English communication, both written and verbal.

• Proficient in virtual office tools, EHR systems, and communication platforms.

• Strong customer service and critical thinking skills.

• Understanding of HIPAA regulations and the importance of patient data confidentiality.

• Strong problem-solving skills and ability to work with minimal supervision.

• Willingness to work in US time zones (PST, EST, CST).

• High school diploma or equivalent.

System and Work Setup Requirements

• Internet : Minimum speed of 25 Mbps or higher, with a reliable backup connection available in case of power outages or service provider issues.

• Processor : Intel Core i5 7th Generation or higher (or equivalent).

• Memory : 8 GB RAM.

• Storage : 256 GB SSD or HDD with at least 50% free space available.

• Webcam : 720p resolution or higher.

• Operating System : Windows 10 or later (or equivalent).

• Audio Equipment : Noise-canceling earphones or headset.

• Workspace : A designated, quiet, and organized workspace free from distractions to ensure productivity and focus.

Benefits

• Permanent remote work setup

• Competitive starting rate paid in USD

• Internet Allowance

• HMO insurance (PH)

• Retirement Fund

• Paid US holidays

• Paid Vacation and Sick Leaves