0 Healthcare Billing jobs in the Philippines

Medical Biller AR Followup Analyst - Work From Home

Barcelona, Sorsogon ClinicMind

Posted 14 days ago

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Job Description

Overview

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a Medical Biller AR Followup Analyst - Work From Home. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead.

Responsibilities
  • Maximize insurance reimbursement for healthcare practice owners
  • Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions
  • Interact with the US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment
  • Plan and execute medical insurance claim denial appeal process
  • Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims
Qualifications
  • Minimum of 6 months experience in US-based AR follow-up and charge and payment posting
  • Familiar with US medical insurance industry and insurance claims processing cycle
  • Knowledge of ICD-10, CPT, and HCPC
  • Understand CMS-1500 and UB-04 claim formats
  • Experience in Vericle Software is a must.
  • Excellent listening, communication, and problem-solving skills
  • Self-motivated and able to work autonomously
Must Have
  • High comfort level working on Eastern Time Zone/US Shift
  • Good internet access at home
  • Mobile Hotspot
  • Laptop/Desktop of at least 8 GB
Seniority level
  • Entry level
Employment type
  • Full-time
Job function
  • Health Care Provider
Industries
  • Embedded Software Products
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Healthcare Billing Specialist

₱70000 - ₱120000 Y Winning Assistants LLC

Posted today

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Job Description

Position Code:
GJ-MHS

Position Type:
Full-Time (40 hours per week)

Work Hours:
9:00 AM – 5:00 PM PDT

Work Days:
Monday to Friday

Salary:
Starting at $5 - $6 per hour (depending on experience)

About the Client

Our client is a U.S.-based healthcare billing and management company that provides comprehensive medical billing, revenue cycle management, and administrative support services to healthcare providers. Their mission is to help medical practices streamline operations, ensure timely reimbursements, and deliver excellent service to patients.

About the Role

We are seeking a
Healthcare Billing Specialist
to provide end-to-end support in billing, administrative tasks, and patient communication. This role is ideal for someone with proven experience in medical billing and revenue cycle management, along with strong organizational and communication skills.

Key Responsibilities

Billing Support (Top Priority)

  • Handle billing processes, including claim submissions, follow-ups, appeals, and credentialing.
  • Verify insurance information and ensure claims are accurate and compliant.
  • Meet daily KPI of following up on 45 claims per day.
  • Upload, track, and organize Explanation of Benefits (EOBs).

Administrative & Executive Assistance

  • Prepare and manage reports, spreadsheets, and presentations.
  • Provide support with administrative overflow tasks.
  • Assist with executive-level tasks to keep daily operations running smoothly.

Patient & Reception Support

  • Answer and manage calls via Nextiva VoIP system.
  • Handle patient inquiries and correspondence promptly and professionally.
  • Provide receptionist-style assistance when needed.

Tools & Platforms

Experience with the following is preferred:

  • EHR/EMR Systems:
    eClinicalWorks (ECW), AdvancedMD, DrChrono, WebPT, Fair Bill, Elation, TheraBill.
  • Communication:
    Nextiva VoIP phone system.

Desired Skills & Qualifications

  • Proven background in medical billing and revenue cycle management.
  • Strong administrative and organizational skills.
  • Excellent written and verbal communication in English.
  • Ability to adapt to various tasks and shifting priorities.
  • Knowledge of HIPAA regulations and commitment to confidentiality.

Requirements

Basic Requirements

  • Clear English communication (written and spoken).
  • Relevant work experience in healthcare administration and billing.
  • Ability to provide NBI Clearance or Local Police Clearance if requested.
  • Exclusively available during scheduled work hours (no other clients).
  • Comfortable joining video meetings with the camera on.

Technical Setup

  • Reliable laptop or desktop computer.
  • High-speed internet (minimum 15 Mbps).
  • Noise-canceling headset.
  • Webcam for virtual meetings.
  • Quiet, professional workspace.

Additional Application Requirement

  • Must submit a short video introduction as part of the application.
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Healthcare Billing Representative

Makati, National Capital Region UnitedHealth Group

Posted 6 days ago

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Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
All of us have a short list of the things that make a job great. If your list includes being able to make a difference, count us in as your next place to work. UnitedHealth Group is a Fortune 5 leader in health care at a time when health care is evolving for everyone. Our billing teams are part of an important chain of events that impact the lives of our members in positive ways. Join this group and we'll have an impact on you. Apply now and discover the exceptional training, support and opportunities to grow that you'd expect from a Fortune 5 leader.
**Primary Responsibilities:**
+ Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies
+ Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function
+ Educate customers regarding the availability of receiving invoices and remitting payments through online applications
+ Monitor outstanding balances and take appropriate actions to ensure clients pay as billed
+ Manage the preparation of invoices and complete reconciliation of billing with accounts receivables
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you'll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.
**Required Qualifications:**
+ An education level of at least a high school diploma or GED OR equivalent years of working experience
+ Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
+ Ability to multi-task and to understand multiple products and multiple levels of benefits within each product
+ Able to work a 40 hour schedule within the operating hours of the site
**Preferred Qualifications:**
+ 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
+ Experience in billing or collections
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Optum is a drug-free workplace. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved._
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Healthcare Billing and Compliance Specialist

₱104000 - ₱130878 Y Core-VA Solutions

Posted today

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Job Description

We are looking for a proactive and detail-oriented Healthcare Billing and Compliance Specialist who can assist with billing operations, maintain accurate documentation, and support general administrative tasks. The ideal candidate will have experience supporting U.S.-based clients, be detail-oriented, and possess familiarity with QuickBooks, Microsoft Excel, and healthcare-related documentation.

  • Maintain and update internal trackers, state-level documents, SOPs, and financial files.
  • Perform charge entry, including accurate data entry of billing codes, service details, and provider information into the system.
  • Handle billing support tasks such as invoice tracking, payment updates, and reconciliation assistance using QuickBooks (familiarity is sufficient).
  • Review and organize client-submitted documentation, service logs, and spreadsheets.
  • Use EHR/EMR systems and client portals to verify claim details, determine HCPCS codes, and ensure compliance with state requirements.
  • Ensure accuracy of billing data using forms, EHR notes, or provider-issued information before submission.
  • Support administrative processes including onboarding, compliance tracking, appointment scheduling, and SOP development.
  • Prepare audit-ready documentation and organize client files in cloud-based systems.
  • Manage inbound and outbound communications, including drafting client emails
  • Attend meetings and provide updates on submitted claims, including tracking and following up on denied claims.
  • Ensure clients are informed on claim statuses and any required follow-up actions.
  • Maintain confidentiality and data accuracy across platforms such as QuickBooks, Excel, EHR/EMR, and client portals.
Requirements

Qualifications:

  • At least 2 years of experience in billing admin, or financial support roles (experience with U.S. clients required).
  • Hands-on experience supporting U.S.-based clients, including attending client meetings, reporting updates, and presenting information clearly.
  • Proven experience in charge entry and familiarity with accounts receivable processes.
  • Familiarity with QuickBooks (Online or Desktop).
  • Spanish communication skills are a plus, but not required.
  • Intermediate to advanced Microsoft Excel skills.
  • Strong attention to detail, problem-solving, and organizational skills.
  • Experience with EHR/EMR systems, state portals, HCPCS codes, and billing procedures.
  • Experience with document formatting, SOP creation, and cloud-based file management.
Benefits

What we Offer:

  • Starting rate: $7/hour (based on experience and qualifications)
  • 100% remote / work-from-home setup
  • Training and support system to help you gain confidence before working independently
  • A collaborative, respectful work environment — we value trust, autonomy, and open communication over micromanagement
  • Long-term opportunity
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Team Lead for Healthcare Billing

Makati City, National Capital Region ₱900000 - ₱1200000 Y ISTA Solutions

Posted today

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Job Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Team Lead to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you
Account Specific Roles and Responsibilities:
Team Lead

  • Oversees daily operations for all agents delivering high-quality and valued services
  • Conduct training and coaching, including insights and action plans to improve
  • Analyze and report on productivity and other metrics - such as attendance, end-of-day reports, and compliance with company protocols
  • Ensure that the client is updated on significant program activities, issues, and concerns through calls, emails, meetings, reports
  • Perform other supervisory tasks as required

Medicaid Billing

  • Review unpaid Medicaid claims in the EMR system
  • Edit and update claims to meet requirements for resubmission
  • Follow a standardized process for each claim
  • Ensure claims are accurately modified for successful rebilling
  • Maintain accurate documentation of work completed
  • Meet daily productivity targets and quality standards

Requirements

  • At least 1 year BPO experience in a Healthcare account
  • With at least 6 months of TL/Supervisory experience
  • Good working knowledge with MS Tools
  • Excellent verbal and written English skills
  • Willing to work onsite in Makati
  • Amenable working night shift

Benefits
What Can We Offer You?

  • Competitive salary and benefits
  • Health Insurance with free dependents
  • 10%-night differential
  • Attendance Bonus
  • Paid time off
  • Convertible to cash leave credits
  • Performance Appraisal
  • Work-life balance
  • A focus on growing your career path with us
  • We encourage you to follow your passions and learn new skills

Our Commitment to You

  • Strong culture and values-driven leadership
  • We create opportunities for you to learn and grow at any stage of your career
  • Continuous learning and innovation
  • We foster an all-inclusive environment where everyone thrives
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Team Lead for US Healthcare Billing

Mandaluyong, National Capital Region ₱900000 - ₱1200000 Y ISTA Personnel Solutions

Posted today

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Job Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Team Lead to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you

Account specific roles and responsibilities:

  • Access and retrieve claim information through various medical billing portals
  • Contact insurance companies or patients via phone when necessary to follow up on claims
  • Accurately input data into a live spreadsheet.
  • Ensure timely and accurate submission and follow-up of medical claims
  • Collaborate with team members to identify billing issues.
  • Overseeing daily operations for all agents delivering high-quality and valued services.
  • Conducting training and coaching, including insights and action plans to improve
  • Analyzing and reporting on productivity and other metrics - such as attendance, end of day reports, and compliance with company protocols
  • Ensuring that the client is updated on significant program activities, issues, and concerns through calls, emails, meeting, reports
  • Performing productive work for the clients and other supervisory tasks as required
Requirements
  • At least 1-year BPO experience as a Team Lead
  • Extensive experience with US Healthcare Insurance (Claims, Benefits, Eligibilities, Denials)
  • Excellent verbal and written English skills
  • Ability to multi-task, prioritize and manage time effectively
  • Ability to think outside the box, have analytical mind, generate insights and strong problem-solving skills
  • Willing to work onsite in SHAW MANDALUYONG
  • Amenable working night shift
Benefits

What can we offer you?

  • Competitive salary and benefits
  • Health Insurance with free dependents*
  • 10%-night differential
  • Attendance Bonus
  • Paid time off
  • Convertible to cash leave credits
  • Performance Appraisal
  • Work-life balance
  • A focus on growing your career path with us
  • We encourage you to follow your passions and learn new skills

Our commitment to you

  • Strong culture and values-driven leadership
  • We create opportunities for you to learn and grow at any stage of your career
  • Continuous learning and innovation
  • We foster an all inclusive environment where everyone thrives
This advertiser has chosen not to accept applicants from your region.

Team Lead for US Healthcare Billing

Mandaluyong, National Capital Region ₱900000 - ₱1200000 Y ISTA Solutions

Posted today

Job Viewed

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Job Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced
Team Lead
to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you

Account specific roles and responsibilities:

  • Access and retrieve claim information through various medical billing portals
  • Contact insurance companies or patients via phone when necessary to follow up on claims
  • Accurately input data into a live spreadsheet
  • Ensure timely and accurate submission and follow-up of medical claims
  • Collaborate with team members to identify billing issues
  • Overseeing daily operations for all agents delivering high-quality and valued services.
  • Conducting training and coaching, including insights and action plans to improve
  • Analyzing and reporting on productivity and other metrics - such as attendance, end of day reports, and compliance with company protocols
  • Ensuring that the client is updated on significant program activities, issues, and concerns through calls, emails, meeting, reports
  • Performing productive work for the clients and other supervisory tasks as required

Requirements

  • At least 1-year BPO experience as a Team Lead
  • Extensive experience with US Healthcare Insurance (Claims, Benefits, Eligibilities, Denials)
  • Excellent verbal and written English skills
  • Ability to multi-task, prioritize and manage time effectively
  • Ability to think outside the box, have analytical mind, generate insights and strong problem-solving skills
  • Willing to work onsite in SHAW MANDALUYONG
  • Amenable working night shift

Benefits
What can we offer you?

  • Competitive salary and benefits
  • Health Insurance with free dependents*
  • 10%-night differential
  • Attendance Bonus
  • Paid time off
  • Convertible to cash leave credits
  • Performance Appraisal
  • Work-life balance
  • A focus on growing your career path with us
  • We encourage you to follow your passions and learn new skills

Our commitment to you

  • Strong culture and values-driven leadership
  • We create opportunities for you to learn and grow at any stage of your career
  • Continuous learning and innovation
  • We foster an all inclusive environment where everyone thrives
This advertiser has chosen not to accept applicants from your region.
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Revenue Cycle Associate

Taguig, National Capital Region ₱1200000 - ₱3600000 Y HRTX consulting

Posted today

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Job Description

Location: BGC, Taguig | Full onsite

Work Schedule: Monday to Friday | Night shift (9pm to 6am)

Role Overview

The RCM Posting Associate is responsible for accurately posting payments, adjustments, and denials from various payers, ensuring integrity in financial records and client accounts. This role plays a critical part in maintaining cash flow accuracy through reconciliation, ledger updates, and timely processing of payment data.

Qualifications

Required:

  • Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field
  • At least 1 to 2 years of experience in the US healthcare revenue cycle, with exposure to payment posting, cash reconciliation, and EOB interpretation
  • Strong attention to detail and data accuracy
  • Proficiency in Microsoft Office (Excel, Word, Outlook)
  • Effective verbal and written communication skills

Preferred:

  • Hands-on experience with Practice Management Systems (e.g., Avatar, Catalyst, PCMS, Therap, Rethink)
  • Familiarity with RCM and payment platforms (e.g., Ability/Inovalon, Netsmart)
  • Knowledge of HIPAA and payment card industry (PCI) data security standards
  • Experience working with multi-state payers and large-scale healthcare providers

Roles & Responsibilities

  • Accurately post payments, denials, and adjustments from insurance, patients, and third-party payers within set timelines
  • Perform daily, weekly, and monthly cash reconciliation and ensure alignment with internal records and bank statements
  • Monitor and manage unapplied payments, provider-level balances, and refund requests
  • Balance and verify payment batches and ensure they match remittance advices and bank deposits
  • Investigate and resolve discrepancies or posting errors by coordinating with other departments or payers
  • Interpret and apply Explanation of Benefits (EOBs) data for accurate payment processing
  • Process and post credit card transactions securely and in compliance with industry standards
  • Generate reports on cash posting activity and identify trends, issues, or improvement opportunities
  • Maintain clear and professional communication with team members, clients, insurance carriers, and patients regarding payment matters
  • Ensure compliance with HIPAA, payer guidelines, and internal audit requirements
  • Recommend and support process improvements to enhance posting workflow efficiency
  • Support special projects and cross-functional initiatives as assigned by leadership

Job Type: Full-time

Pay: Php25, Php30,000.00 per month

Ability to commute/relocate:

  • Taguig: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

  • What Practice Management Software (eg. Avatar, Catalyst, PCMS, Therap, Rethink) are you experienced with?
  • What Revenue Cycle Management platforms (e.g., Ability/Inovalon, Netsmart) are you experienced with?

Education:

  • Bachelor's (Required)

Experience:

  • US Healthcare RCM Posting: 1 year (Required)

Work Location: In person

This advertiser has chosen not to accept applicants from your region.

Revenue Cycle Specialist

Taguig, National Capital Region ₱900000 - ₱1200000 Y iNEED Outsourcing & Recruitment Services

Posted today

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Job Description

Our client is seeking a skilled and experienced
Revenue Cycle Management & Accounting Specialist
to join our team. In this role, you will be responsible for handling payment posting, billing, invoicing, and collections processes to ensure the efficient and timely management of revenue cycle. In addition, you will provide administrative support to the accounting department, including assistance with month-end close journal entries and reconciliations, as well as filing business license renewals and state/local tax documents.

RESPONSIBILITIES MAY INCLUDE, BUT ARE NOT LIMITED TO:

  • Conduct weekly and monthly reconciliations of select balance sheet accounts.
  • Coordinate timely filing of state and local business license renewals and tax documentation.
  • Assist with employee expense reviews, as well as other administrative payroll duties.
  • Manage payment posting for insurance and patients, reconciling electronic payments, manual check deposits, and virtual credit cards to ensure data integrity and accuracy.
  • Collaborate with families to obtain proper documentation for timely processing of patient responsibility charges.
  • Work with the team on billing and collections efforts for commercial insurances, Medicaid, Regional Centers, and School Districts.
  • Conduct eligibility checks through automated systems or provider portals to ensure active coverage during service periods.
  • Maintain strict confidentiality and adherence to all HIPAA guidelines and regulations.
  • Demonstrate ability to troubleshoot complex issues independently, collaborating with the team to establish efficient revenue cycle processes.
  • Effectively communicate with the onshore team and families, demonstrating excellent English communication skills both written and oral.
  • Diligently document and communicate updates to managers and team using comprehensive written trackers.

REQUIRED SKILLS AND QUALIFICATIONS:

  • Associates Degree or higher in a related field (preferred).
  • Minimum of 2 years of experience working in the US Healthcare industry with a strong knowledge of administrative and clerical procedures within the revenue cycle and accounting functions.
  • Proficient in computers, including Excel, and practice management software.
  • Possess strong problem-solving skills.
  • Proactively demonstrate the ability to take initiative or ownership or areas of responsibility.
  • Thrive in a fast-paced environment.
  • Exhibit a high level of quality through attention to detail and continuous monitoring of work.
  • Demonstrate strong organizational skills.
  • Showcase excellent verbal and written communication skills

Job Type: Full-time

Must-have Experiences:

Revenue Cycle Management

HIPAA

US Healthcare Industry

Click Apply or send your CV to

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Revenue Cycle Specialist

₱50000 - ₱60000 Y Winning Assistants LLC

Posted today

Job Viewed

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Job Description

Position Code:
(CP- ACC)

Work Hours:
9:00 AM - 5:00 PM EST
|
Monday - Friday

Salary:
$5 - $6 USD / hour

We're Hiring: Revenue Cycle Specialist (Healthcare)

We're seeking a
highly skilled
and
detail-oriented
Revenue Cycle Specialist to
lead and manage
the
full end-to-end
Revenue Cycle Management (RCM) process.

You'll be at the heart of our
healthcare administrative team
, ensuring claims, payments, and patient billing are handled
accurately, compliantly, and on time
— boosting both
efficiency
and
financial performance.

Key Responsibilities

  • Manage
    the entire revenue cycle process — from patient registration to final payment.
  • Verify
    insurance eligibility, coordinate benefits & ensure accurate patient intake.
  • Monitor & resolve
    denials, rejections, and underpayments proactively.
  • Oversee
    ERA posting, payment reconciliation & accuracy of patient accounts.
  • Analyze
    performance metrics to spot trends, inefficiencies & improvement areas.
  • Ensure compliance
    with payer guidelines, coding standards (CPT, ICD-10, HCPCS) & HIPAA.
  • Develop strategies
    to reduce claim denials & maximize reimbursements.
  • Assign
    accurate medical codes based on documentation for proper billing.
  • Obtain
    prior authorizations to prevent care/payment delays.
  • Submit
    clean claims & invoices promptly via EHR/billing systems.
  • Address
    billing errors & respond to patient inquiries professionally.
  • Deliver
    top-tier customer service in all billing/financial communications.

Requirements

  • 2+ years
    hands-on RCM experience in private practice or physician's office.
  • Skilled in
    Tebra, NextGen, TherapyNotes, eClinicalWorks
    (+ AdvancedMD a plus).
  • Strong in
    medical billing
    , coding (CPT, ICD-10, HCPCS), and insurance verification.
  • Experience with
    prior authorizations
    , appeals & account reconciliation.
  • Deep understanding of
    healthcare reimbursement & payer requirements
    .
  • Excellent
    communication
    ,
    organization
    , and
    problem-solving
    skills.
  • Customer-first mindset
    with empathy in sensitive conversations.
  • Knowledge of
    HIPAA
    & industry compliance standards.
This advertiser has chosen not to accept applicants from your region.
 

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