Medical Biller

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

📋 Description

• Accurately post patient payments to the appropriate accounts, charges, and service dates.

• Identify and record contractual adjustments, write-offs, and denied amounts as per payer agreements.

• Reconcile daily payment batches ensuring all postings correspond with deposits.

• Manage assigned accounts receivable queues to follow up on pending claims with insurance payers and patients.

• Investigate and address unpaid, denied, or underpaid claims by contacting payers through phone or their portals.

• Recognize denial patterns and root causes, elevating systemic issues to the billing manager.

• Resubmit corrected claims, file appeals, and provide necessary supporting documentation as required.

• Diligently document workflows, processes, and system steps during the training period to create thorough Standard Operating Procedures (SOPs).

• Draft clear, step-by-step procedures for future onboarding, cross-training, and quality assurance.

• Review and process patient statements and balances as instructed.

• Professionally and accurately respond to patient billing inquiries.

• Maintain organized and precise billing records for all assigned accounts.

• Assist with eligibility verification and benefit checks as necessary.

• Keep up-to-date with payer-specific billing requirements, coding updates, and compliance regulations.

⛳️ Requirements

• Proven experience in medical billing with an emphasis on payment posting and accounts receivable follow-up.

• Strong understanding of the medical billing cycle from claim submission to payment reconciliation.

• Experience in handling EOBs, ERAs, and payer denial codes.

• Ability to produce clear and organized Standard Operating Procedures — a critical deliverable for this role.

• Exceptional attention to detail and accuracy in all data entry and financial postings.

• Comfortable working autonomously and managing a billing workload remotely.

• Professional written and verbal communication abilities.

• Familiarity with Availity — claims submission, eligibility checks, and payer portal management.

• Experience with Greenway Health — practice management and billing workflows.

• Knowledge of ICD-10, CPT, and HCPCS coding as it pertains to claim accuracy.

• Prior experience in a remote medical billing or virtual assistant role.

🏝️ Benefits

• Comprehensive health benefits package.

• Flexible working hours and remote work opportunities.

• Professional development and training programs.

• Supportive team environment with opportunities for career advancement.