Medical Biller, RCM, Authorizations & Verification Specialist

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

📋 Description

• Confirm patient insurance coverage, including active policy status, copays, deductibles, coinsurance, and maximum benefit limits prior to service delivery.

• Initiate, monitor, and follow up on Letters of Authorization (LOAs) and pre-authorizations with insurance providers.

• Prepare, compile, and submit Letters of Intent / Medical Necessity (LOIs) along with clinical documentation.

• Assist with appeals, gap-in-network exceptions, and specialized treatment requests.

• Manage comprehensive Revenue Cycle Management responsibilities, which include charge entry, claim submission, payment posting, and follow-ups on accounts receivable or denials.

• Keep records of payer communications, authorization numbers, and patient financial clearances in EHR/Practice Management systems.

• Ensure strict adherence to HIPAA regulations.

⛳️ Requirements

• At least 2–3+ years of relevant experience in U.S. Medical Billing, Medical Virtual Assisting, or RCM positions.

• Demonstrated proficiency in insurance verification, calculating and tracking maximum benefits, and obtaining LOAs and LOIs.

• Familiarity with prominent U.S. EHR/PM platforms (such as Epic, Athenahealth, eClinicalWorks, Kareo, or similar systems) and clearinghouse portals.

• Exceptional written and verbal communication skills in English.

• Comfortable engaging professionally with U.S.-based insurance providers, patients, and colleagues.

• Dependable high-speed internet connection (minimum of 25+ Mbps).

• A quiet, secure, HIPAA-compliant home office setup.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Flexible work schedule with remote working options.

• Opportunities for professional development and training.

• Comprehensive health and wellness benefits.