Medical Billing Specialist

About This Opportunity

We are representing a confidential healthcare organization in their search for an experienced Medical Billing Specialist focused on AR and Collections. This is a remote position based in the Philippines with a night shift schedule to align with US business hours. Our talent team is seeking professionals with deep expertise in medical billing, denial management, and collections processes.

Responsibilities

• Follow up on submitted invoices to ensure prompt and timely payment, escalating issues as necessary
• Evaluate payments and denials received for correctness and ensure proper application
• Identify bad debt write-offs and A/R adjustments, initiating them in accordance with established policies
• Detect overpayments and duplicate payments; investigate and resolve accordingly
• Process refund requests in accordance with policies and procedures
• Maintain contact with other departments to obtain patient or insurance information needed for claim payment
• Make calls to troubleshoot payment discrepancies and establish resolution
• Document phone calls, phone numbers, persons spoken to, and call details on a consistent basis
• Resolve issues that caused a denial within 5 days of receipt of denial
• Maintain strictest confidentiality and adhere to all HIPAA guidelines and regulations
• Consistently look for areas to maximize claim reimbursement
• Share knowledge gained with other staff members and work as a team member
• Perform other job-related duties as assigned

What We're Looking For

• High school diploma or general education degree (GED) equivalent
• At least 3 years of medical billing and collections experience
• Home Infusion experience, hospital, or chemotherapy experience is required
• Experience in calculating drug units; Intrathecal Pain Management experience is a plus
• Understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies
• Broad knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes
• Ability to recognize, evaluate, and exercise good judgment in solving complex situations
• Excellent verbal and written communication and relationship building skills
• Strong work ethic with personal qualities of integrity and credibility
• Self-directed, detail-oriented, conscientious, organized, and able to follow through
• Proficiency in Microsoft Office, including Outlook, Word, and Excel
• Ability to work Monday to Friday, 9 PM to 6 AM Manila Time

How We Work With You

Candidates apply directly through Get A Job.ai. Our recruiting team will conduct an initial screening to assess your qualifications and fit for this role. Once we've completed our evaluation, we will submit qualified candidates to our client for their consideration. Please do not attempt to contact the client directly, as all communication must flow through our talent team to ensure a professional and organized hiring process.

Pay

Compensation details will be discussed with qualified candidates during the screening process.

Equal Opportunity: Get A Job.ai is committed to inclusive hiring practices and works with clients who value diversity in their workforce.