Medical Billing Specialist – Payment Posting

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

📋 Description

• Process incoming payments and generate batches for posting.

• Identify underpayments and prepare documentation for appeals.

• Accurately code claims using CPT and ICD-10 codes.

• Submit claims to clearinghouses and manage claims corrections as needed.

• Engage with patients, providers, and payers to verify eligibility, obtain pre-certifications, or follow up on claims and appeals.

• Execute additional responsibilities as directed by management.

⛳️ Requirements

• A minimum of 3 years of experience in the US Healthcare sector.

• Proficient knowledge of medical billing codes, including CPT, HCPCS coding, claims modifiers, and ICD-10 diagnosis coding.

• Familiar with Revenue Cycle Management (RCM) systems, Practice Management Systems (PMS), and relevant tools.

• Understanding of various insurance coverages and claims, such as Health, Workers' Compensation, and Auto insurance.

• Ability to read and interpret Explanation of Benefits (EOBs).

• Experience in coordinating with insurance companies.

• Strong adaptability and quick learning ability.

• Proven track record of efficiency and punctuality in task completion.

🏝️ Benefits

• Work from home.

• Monday to Friday | 8:00 PM-5:00 AM Philippine Time.