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

📋 Description

• Process, clean, and electronically submit both primary and secondary claims through Office Ally EMR, ensuring accurate entry of ICD-10/CPT codes and demographic information.

• Track unpaid, pending, and rejected claims; liaise with insurance payors to resolve billing issues and expedite reimbursement.

• Record payments, handle claim denials, prepare clean resubmissions, and respond to general billing inquiries.

• Oversee daily claims submissions and manage clearinghouse edits within Office Ally.

• Perform systematic follow-ups on outstanding insurance claims within Accounts Receivable (AR).

• Determine root causes for claim rejections and denials; efficiently process appeals and corrections.

• Keep accurate documentation of payment postings, adjustment codes, and communications with payors.

• Liaise with insurance representatives, clinical teams, and patients regarding the status of billing.

⛳️ Requirements

• Demonstrated experience in U.S. medical billing, claims processing, payment posting, and denial management.

• Direct hands-on experience with Office Ally EMR and clearinghouse systems.

• Strong written and verbal communication skills in English to interact professionally with payor representatives and internal staff.

• Full-time availability to work 40 hours per week, Monday to Friday, from 8:00 AM to 5:00 PM PST.

• A dedicated, private home office equipped with a lockable door, high-speed primary internet, backup power/internet solutions, a PC/Mac, and a noise-canceling headset.