Healthcare Billing Specialist

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

📋 Description

• Oversee accounts receivable and pursue outstanding insurance claims.

• Monitor EOBs, claim statuses, payments, denials, and unresolved balances.

• Precisely enter, review, and update claim details in SimplePractice.

• Coordinate follow-ups with Cigna, UnitedHealthcare, Aetna, Blue Cross Blue Shield, and the Veterans Community Care Network.

• Identify claims that are delayed, denied, underpaid, or unresolved, and escalate issues when necessary.

• Keep documentation of claim follow-ups, payer responses, and the necessary next steps.

• Communicate with the external billing team regarding claim submissions, payment delays, and billing inquiries.

• Resolve claim issues and perform the appropriate follow-up actions.

• Oversee delayed claim submissions and unresolved billing issues.

• Offer proactive status updates to clients and relevant team members.

⛳️ Requirements

• Minimum of 1 year experience in U.S. healthcare billing, accounts receivable, and insurance claim follow-up.

• Required hands-on experience with SimplePractice.

• Strong understanding of EOBs, claim statuses, denials, payments, and payer follow-up procedures.

• Experience in communicating with major commercial insurance companies.

• Exceptional attention to detail when entering claim data and tracking payment statuses.

• Strong organizational and time management abilities.

• Consistent attendance, dependable follow-through, and capacity to meet deadlines.

• Proactive in offering updates and escalating issues related to delayed, denied, or unresolved claims.

• Capability to work independently and handle multiple priorities with minimal supervision.

• Knowledge of HIPAA regulations and secure management of protected health information.

• Comfort in managing a high-priority accounts receivable backlog that impacts practice cash flow.

• Availability during agreed Central Time working hours and for billing team coordination periods.

• Must communicate in English clearly and professionally, both verbally and in writing.

• Relevant work experience is mandatory.

• Provision of an NBI Clearance and/or Local Police Clearance prior to onboarding is required.

• Attendance at video meetings with camera on when necessary.

• A reliable laptop or desktop computer is essential.

• A stable high-speed internet connection of at least 25 Mbps is necessary.

• A noise-canceling headset is required.

• A working webcam for virtual meetings is mandatory.

• A quiet and professional workspace is essential.

• Experience in medical scribing is a plus but not compulsory.

🏝️ Benefits

• Dedicated HR & Contractor Support Team: Access to top-notch support for inquiries, guidance, contract issues, and client communication.

• Premium VPN Access (Optional): A secure VPN license may be provided upon request to enhance privacy and security for client-related activities.

• HIPAA & Cybersecurity Training + Certification (Provided): Access to internal HIPAA compliance training, cybersecurity modules, and certification to assist in handling PHI for U.S. healthcare clients.

• Top 1% VA Performance Training: Training focused on communication, client management, productivity systems, and best practices.

• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off based on the client's needs and schedule.

• Client-Approved Paid or Unpaid Time Off: Time off may be granted by the client; paid time off is optional and only if offered by the client.

• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support.

• Optional Performance-Based Incentives: Some clients may provide bonuses, incentives, or increased hours based on performance.

• Optional contractor perks and client-approved allowances available to independent contractors; these are not employee benefits.