Billing Specialist

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Submit and oversee claims via the state claims portal.

• Confirm eligibility prior to initiating billing procedures.

• Examine service documentation and authorizations before submitting claims.

• Analyze service logs and cross-reference them with claim data to ensure precision, correct units, appropriate modifiers, and complete compliance.

• Validate the place of service and billing information against supporting documentation.

• Track claim status, denials, and resubmissions.

• Maintain precise billing trackers and reconciliation documents.

• Prepare and deliver financial and billing reports to clients.

• Assist with tracking invoices and reconciling payments.

• Experience in preparing financial or billing reports for clients in the US.

• Proficient in Excel for tracking, reconciliation, and reporting purposes.

• Ensure all claims adhere to state billing requirements and documentation standards.

• Assist with submissions related to service authorizations or renewals to guarantee continuity of care.

• Validate billing compliance and documentation standards at each stage.

• Communicate with clients via email and phone regarding billing inquiries.

• Provide general administrative support concerning billing operations.

⛳️ Requirements

• Bachelor's degree in Business Administration, Finance, Healthcare Management, or a related field is preferred (not mandatory).

• A minimum of 2–4 years of experience in Medicaid billing or a comparable remote billing position.

• Practical experience in submitting and managing claims through a state billing portal.

• Strong understanding of billing compliance, documentation validation, and claim corrections.

• Experience with service authorization forms and continuity of care documentation.

• Exceptional attention to detail, particularly when aligning service logs with claim data.

• Ability to independently manage billing workloads without close supervision.

• Good written and verbal communication skills in English.

• Professional handling of sensitive client and financial information.

• Proficient in Google Workspace and/or Microsoft 365.

• Skilled in Excel for tracking, reconciliation, and reporting tasks.

• Experience with QuickBooks or similar accounting software is advantageous.

• Comfortable using video communication tools (Zoom, Google Meet, or similar).

• Available during US business hours.

• Able to start as soon as possible.

🏝️ Benefits

• 100% remote / work-from-home setup.

• Paid time off (PTO).

• US public holidays observed.

• Training and support system to help you build confidence and work independently.

• A collaborative, respectful work environment — we value trust, autonomy, and open communication.

• Long-term opportunity with a stable and growing agency.