
Medical Billing Specialist – Revenue Integrity
Posted Jul 27

Posted Jul 27
This is a fully remote position, open to applicants in Philippines.
• Take ownership of follow-up processes for stale, underpaid, and unpaid claims.
• Oversee the intake, organization, and posting workflows for paper Explanation of Benefits (EOB).
• Conduct check reconciliation and ensure payment accuracy aligns with remittance data.
• Investigate any discrepancies between billed amounts, payments received, and expected reimbursement figures.
• Collaborate with billing, credentialing, and operations teams to address revenue-related issues.
• Facilitate communication with payers through phone, portal, fax, and email.
• Bachelor’s degree or equivalent experience required.
• Exceptional attention to detail along with strong organizational skills.
• Experience in a call center or roles with high call volumes.
• Minimum of 3 years’ experience in healthcare billing, collections, or revenue cycle management.
• Familiarity with US-based health insurance entities, both commercial and governmental.
• Strong communication and problem-solving skills are essential.
• Proficient in MS Office and various business systems.
• Capability to manage multiple tasks and adhere to deadlines.
• This position allows for remote work.
• We are seeking candidates located outside of the United States, who can operate within United States East Coast time zones.
American Health Partners
Humana
HCA Healthcare
TEKsystems
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