Medical Billing Specialist (BIL)

The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end billing tasks to optimize revenue for healthcare practices.

Key Responsibilities:

• End-to-End Revenue Cycle Management (RCM): Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed.
• Accounts Receivable (A/R) Collections: Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue.
• Claims Denial Investigation and Resolution: Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments.
• Claims Resubmission and Correction: Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement.
• Documentation and Compliance: Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA.

Requirements

• Proven experience in medical billing with exposure to RCM and A/R processes.
• Experience with claim denial management and collections processes.
• Proficiency in English communication, both written and verbal.
• Proficient in virtual office tools, EHR systems, and communication platforms.
• Strong customer service and critical thinking skills.
• Understanding of HIPAA regulations and the importance of patient data confidentiality.
• Strong problem-solving skills and ability to work with minimal supervision.
• Willingness to work in US time zones (PST, EST, CST).
• High school diploma or equivalent.

System and Work Setup Requirements:

• A stable and high-speed internet connection preferably 25 MBPS or higher with backup in cases of power interruption or service provider issues.
• Own PC/laptop with 8GB RAM, and a processor of Core i5 / AMD Ryzen 3 / 2013 Mac equivalent or higher; Windows 10 or above / Catalina 10.15 or newer; with up-to-date web browsers, and security software, 500GB/128 SSD storage
• Headset/earphone with noise cancellation and webcam at 720p or higher resolution
• A designated, quiet, and well-organized workspace free from distractions to facilitate focused work

Benefits

• Permanent remote work setup
• Competitive starting rate paid in USD
• Internet Allowance
• HMO insurance (PH)
• Retirement Fund
• Paid US holidays
• Paid Vacation and Sick Leaves