Medical Billing Coordinator

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

📋 Description

• Confirm patient insurance eligibility, network participation, active coverage details, deductibles, copays, coinsurance, out-of-pocket maximums, and specific service benefits.

• Determine referral prerequisites and prior authorization requirements based on payer and service type.

• Utilize payer portals and communicate with insurance carriers to validate benefits.

• Record insurance verification information in the EMR/EHR system.

• Manage incoming patient calls effectively.

• Conduct outbound calls for appointment scheduling, benefit verifications, document collection, and follow-up actions.

• Clearly communicate insurance benefit information to patients.

• Address inquiries and concerns raised by patients.

• Schedule, reschedule, and confirm appointments across various providers and service lines.

• Process referrals and collaborate with both internal teams and external providers.

• Verify and update patient demographic information accurately.

• Keep comprehensive documentation of all patient interactions and transactions.

⛳️ Requirements

• Proven experience in a US healthcare call center setting — this is a mandatory requirement.

• Practical experience in conducting insurance verifications and benefits checks (VOB) for US payers.

• Familiarity with deductibles, copays, coinsurance, out-of-pocket expenses, and benefit structures for both commercial and government payers.

• Experience in identifying referral and prior authorization prerequisites by payer.

• Proficient in navigating payer portals and reaching out to insurance carriers.

• Background in documenting insurance verifications and patient interactions within an EMR or EHR system.

• Experience in medical scheduling, including referral coordination.

• Detail-oriented and precise in both verification and documentation processes.

• Organized and reliable in managing a high volume of calls and tasks.

• Excellent and professional communication skills.

• Capability to handle challenging conversations and complex payer scenarios with composure.

• Awareness of HIPAA regulations and compliance.

• Proficiency in EMR/EHR systems is required.

• Experience in navigating payer portals is essential.

• Competence in Microsoft 365 or Google Workspace.

• Access to reliable high-speed internet, a quiet dedicated workspace, and a quality headset.

• Availability for full-time work Monday through Friday during US business hours.

• Ability to operate in a HIPAA-compliant environment.

🏝️ Benefits

• Competitive salary and comprehensive health benefits.

• Opportunities for professional development and career advancement.

• Supportive work environment with a focus on teamwork and collaboration.