843 Medical Biller jobs in the Philippines

MedCore Solution, Bizforce's medical division, is seeking a skilled WFH Medical Biller/Accounts Receivable Specialist (US Healthcare) to join our team. As a Medical Biller/Accounts Receivable Specialist (US Healthcare), you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home on a permanent basis and will have the opportunity to work with a dynamic team in a fast-paced environment. BizForce & MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice's specific needs, so you can focus on your patients and revenue producing activities.

• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
• Maintain Medicare bad-debt cost report
• Secure outstanding balance payments for care of employees
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

• At least 3 years of experience as US Medical AR Specialist

• Knowledge of medical billing and coding practices

• Strong understanding of healthcare billing process
• Familiarity with healthcare insurance plans and related policies
• Experience with HIPAA regulations
• Excellent communication and customer service skills
• Strong attention to detail
• Strong computer skills and experience with medical billing software.
• Amenable to work in any US time zones (graveyard shift)

Key Results

• Reduce coding and billing error rate
• Achieve the target collections goals set and collections status report
• Reduced number of denials and complaints
• Achieve an accuracy rate of 99%
• Utilization of billing and coding software programs

System Requirements

Device (Desktop or Laptop)

1. Processor:

2. Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).

3. Mac Devices: Apple M1 chip or newer.

4. RAM:

5. Minimum of 8GB or higher for optimal performance.

6. Operating System:

7. Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.

8. Mac: macOS compatible with M1 or newer chips.

9. Hard Disk:

10. At least an SSD for faster processing and performance.

Internet Connectivity:

• Minimum speed of 50 Mbps via a wired connection for stability and reliability.
• A backup internet connection is highly recommended.

*Power Supply:

• A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages (optional but encouraged)

Other details:

Start Date: TBD

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: TBD (US work hours)

Duration: Full-time Steady state

• Permanent Work From Home
• Weekly Paychecks
• Fixed Weekends Off
• HMO Reimbursement on your 90th day
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary

___

Who are we?

BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

Why work for Bizforce?

Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.

About Us:

Outsourced is a leading Philippines outsourcing company providing dedicated remote staff and offshore staffing services. We specialise in providing staff of the highest quality who will continue to exceed your expectations and provide benchmark offshore solutions to your business. With Outsourced you can scale your organisation quickly, easily and cost effectively with dedicated remote staff based in our modern offices in Manila.

Job Overview:

We are hiring a
Remote Medical Biller
who specializes in
RPM/CCM billing
but can also support
general medical billing operations
for clinics and provider groups. You will play a critical role in ensuring accurate, timely reimbursement for our services and helping our partners maintain strong revenue cycles.

Responsibilities:

RPM/CCM-Specific Billing

• Submit claims for
  RPM codes (99453, 99454, 99457, 99458)
  and
  CCM codes (99490, 99439, 99487, 99489)
  .
• Validate documentation meets CMS and commercial payer requirements (e.g., 16-day rule, interactive communication, time logs).
• Reconcile patient encounters, time logs, and platform data against billing submissions.
• Track denials or rejections specific to RPM/CCM and resubmit with corrected documentation.
• Provide monthly reports on RPM/CCM revenue performance and outstanding claims.

General Medical Billing

• Process insurance claims for E/M visits, labs, and other services as required by provider offices.
• Verify patient insurance eligibility and benefits before claim submission.
• Post payments, adjustments, and rejections into the billing system/EHR.
• Work accounts receivable (A/R) to reduce outstanding balances and improve cash flow.
• Coordinate with front-office staff and providers on coding, documentation, and claim corrections.

Compliance & Communication

• Stay current with
  CMS guidelines
  and payer policy changes for RPM, CCM, and general medical billing.
• Ensure compliance with
  HIPAA
  and client confidentiality standards.
• Collaborate with offshore and U.S.-based teams (MAs, RNs, providers, operations) to resolve billing issues.
• Maintain detailed records and audit-ready documentation for all claims.

Qualifications

• Minimum 2 years of experience in
  medical billing and coding
  , with
  at least 1 year in RPM/CCM billing
  .
• Strong knowledge of CPT, HCPCS, and ICD-10 coding standards.
• Familiarity with major U.S. payers (Medicare, Medicaid, commercial insurance).
• Experience with clearinghouses and EHR systems (MDLand, eClinicalWorks, Epic, or similar).
• Excellent English communication skills (spoken and written).
• High attention to detail and organizational skills.

Work Schedule:
Monday to Friday, 9:00 pm to 6:00 am Manila Time

Work Setup:
Home-based

• Must have at least 20 mbps for both upload and download speed

Note:
As part of our recruitment process, we conduct a background check on all hired candidates. Please ensure that all required documents are prepared and submitted promptly.

In compliance to data privacy law, make sure that the following is included at all times:

By clicking on the "I'm Interested" button I hereby allow Outsourced Quality Assured Services, Inc. ("Outsourced") to store and collect my personal information for the purposes of employment application. As such, I agree and authorize Outsourced to collect, store, or continue to use my personal information for the above-stated purpose, and to retain my personal information for a period of 1 year, and for these purposes only.

Job Summary

The Medical Biller plays a crucial role in the healthcare revenue cycle by ensuring the accurate and timely processing of medical claims. This position involves submitting claims to payers, following up on outstanding claims, and ensuring the collection of payments. The Medical Biller will work closely with healthcare providers to verify patient information, manage accounts receivable, and resolve billing issues while maintaining compliance with industry regulations.

Key Responsibilities

• Claim Submission: Prepare and submit accurate medical claims to insurance payers, ensuring compliance with coding and billing standards.
• Accounts Receivable Management: Monitor accounts for payment status, follow up on unpaid claims, and take necessary actions to resolve denied or rejected claims.
• Patient Interaction: Communicate with patients regarding their accounts, explain charges, and assist with billing inquiries.
• Insurance Verification: Verify patient insurance eligibility and benefits prior to services being rendered.
• Payment Posting: Accurately post payments received from insurance companies and patients to the appropriate accounts.
• Documentation: Maintain accurate and detailed documentation of billing processes, including records of claims submitted and payments received.
• Compliance: Ensure compliance with HIPAA regulations and maintain confidentiality of patient information.
• Reporting: Assist in generating reports related to billing performance, accounts receivable aging, and collection efforts.

Requirements:

Qualifications

• Education: High School Diploma or equivalent; certification in medical billing or coding (e.g., CPC or CCA) is a plus.
• Experience: Previous experience in medical billing or a related field is preferred, but entry-level candidates may be considered.
• Knowledge: Familiarity with medical terminology, coding systems (CPT, ICD-10), and healthcare payer processes.
• Skills:
• Strong attention to detail and accuracy in claim submissions.
• Excellent organizational and time-management skills.
• Good communication and interpersonal skills to interact with patients and insurance representatives.
• Proficiency in using medical billing software and electronic health record (EHR) systems.

Benefits:

• Competitive salary and benefits package.
• Opportunity for growth and career development.
• Training and support to enhance technical and customer service skills.
• Work in a dynamic and multicultural environment.

Summary:

Responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound

judgment. As a medical biller, your daily duties will include maintaining billing software,

appealing denied claims, and recording late payments. You must possess in-depth knowledge

of billing software and medical insurance policies. The ideal candidate must also be able to

demonstrate excellent written and verbal communication skills, as communicating with clients

and various insurance agents will form a large part of the job.

Responsibilities:

 Preparing and submitting billing data and medical claims to insurance companies.

Ensuring the patient's medical information is accurate and up to date.

reparing bills and invoices, and documenting amounts due for medical procedures and

services.

ollecting and reviewing referrals and pre-authorizations.

onitoring and recording late payments.

ollowing up on missed payments and resolving financial discrepancies.

xamining patient bills for accuracy and requesting any missing information.

nvestigating and appealing denied claims.

elping patients develop patient payment plans.

aintaining billing software by updating rate change, cash spreadsheets, and current

collection reports.

Minimum Qualifications:

ust have at least 1 year medical billing, insurance claims processing or collection

experience for a US healthcare account.

olid understanding of billing software and electronic medical records.

roficient in English, both verbal and written.

ble to multitask, prioritize, and manage time efficiently

illing to work onsite in Sucat, Paranaque.

Job Type: Full-time

Ability to commute/relocate:

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

Application Question(s):

• Are you amenable to report onsite in Sucat?

Location:

• Parañaque (Required)

Work Location: In person

#1 PH Workforce Delivering to the US

MedCore Solutions, the medical division of BizForce is looking for a detail-oriented and experienced Medical Biller / AR Specialist who specializes in hospice billing and has hands-on experience with FireNote software. This is a fully remote opportunity for candidates based in the Philippines who are looking to grow their U.S. RCM (Revenue Cycle Management) careers while making a real impact from home.

• Manage end-to-end hospice billing processes, including charge entry, claims submission, payment posting, and patient account reconciliation.
• Utilize FireNote software for accurate billing, documentation tracking, and claim management.
• Monitor and follow up on accounts receivable, including denied, unpaid, or underpaid claims.
• Coordinate with U.S.-based hospice teams for clarifications, documentation needs, and timely billing updates.
• Review payer remittances (EOBs and ERAs), analyze discrepancies, and initiate appeals or corrections as needed.
• Ensure compliance with Medicare/Medicaid hospice billing regulations and payer-specific guidelines.
• Maintain accurate documentation and meet all HIPAA and RCM standards.

• Minimum of 2 years of recent experience in hospice medical billing and AR work.

• Proficient in using FireNote software (required).

• Familiar with U.S. healthcare RCM processes, especially Medicare billing for hospice services.
• Strong knowledge of payer guidelines, CPT/HCPCS codes, and denial management.
• Excellent attention to detail and analytical skills.
• Comfortable working independently in a remote environment, with reliable internet and a secure workspace.
• Strong written and verbal communication skills in English.

Other details:

Start Date: ASAP

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: TBD

Work Set-up: Fully Remote

System Requirements

Device (Desktop or Laptop)

1. Processor:

2. Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).

3. Mac Devices: Apple M1 chip or newer.

4. RAM:

5. Minimum of 8GB or higher for optimal performance.

6. Operating System:

7. Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.

8. Mac: macOS compatible with M1 or newer chips.

9. Hard Disk:

10. At least an SSD for faster processing and performance.

11. Internet Connectivity:

12. Minimum speed of 50 Mbps via a wired connection for stability and reliability.

13. A backup internet connection is highly recommended.

*Power Supply:

• A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages (optional but encouraged)

• Permanent Work From Home
• Weekly Paychecks
• Fixed Weekends Off
• Great Company Culture and No Micromanagement
• Thriving Company Culture with Complete Autonomy

___

Who We Are

MedCore Solutions is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

Why work with us?

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice's specific needs, so you can focus on your patients and revenue producing activities.

Staffing for Doctors is seeking an experienced Medical Biller to join our billing team. The ideal candidate will have a solid understanding of medical billing processes and procedures, including coding, claims submission, and follow-up with insurance payers. In this role, you will be responsible for ensuring accurate billing for various healthcare services, maintaining compliance with regulations, and facilitating timely payments. You will play a crucial role in managing the accounts receivable process, resolving any billing inquiries from patients and insurance companies, and collaborating closely with clinical and administrative staff to streamline the billing process.

• Accurately code and submit healthcare claims for various medical services.
• Review patient records to ensure compliance with coding guidelines and regulations.
• Follow up on outstanding claims and manage appeals for denied claims.
• Post payments and adjustments to patient accounts and reconcile accounts receivable.
• Communicate with patients regarding their statements and any billing inquiries.
• Maintain detailed records of billing activities and correspondence.
• Collaborate with healthcare providers and office staff to address billing discrepancies.

• Proven experience as a Medical Biller or similar role.
• Strong knowledge of medical coding (CPT, ICD-10) and billing regulations.
• Experience with electronic health record (EHR) systems and billing software.
• Excellent attention to detail and organizational skills.
• Strong communication skills, both verbal and written.
• Ability to work independently and as part of a team in a fast-paced environment.
• Certifications in medical billing (e.g., AAPC, AMBA) are a plus.

The healthcare industry still relies on faxes and phone tag to coordinate critical care for patients at home. We think patients and the clinicians who serve them deserve better than a system stuck in 1995.

Verse Medical is building the modern software infrastructure to make it happen. We're a well-funded Series C company (backed by General Catalyst, SignalFire, and Sapphire Ventures) on a mission to heal a fragmented system. Our platform connects the dots between providers, payors, and patients, ensuring people get the high-quality care they need, reliably and right where they live.

We're growing fast and looking for people who are driven by this mission to join us

Our values are the operating system for how we work together and with our partners. They aren't just words on a wall; they are the principles we bring to every decision, every day.

• We are transparent, upfront and direct. We operate with honesty and clarity. We share information openly, the good and the bad, and believe that direct, respectful feedback is the foundation of trust and progress.
• We value speed of iteration. We are building something new, which means we learn by doing. We prioritize rapid iteration and getting solutions into the hands of users, believing that progress is more valuable than perfection.
• We give 110% effort, 30% of the time. We are passionate about our mission, and there are moments that require us to go the extra mile. We believe in focused intensity when it counts, balanced by a sustainable pace that keeps our team energized for the long run.
• We empathize with customers to a fault. When our users face a problem, we own it. Instead of asking them to change, we ask ourselves, "How can we make this better?" We believe true innovation comes from deep empathy and a relentless focus on solving the real-world challenges of healthcare.

You will have the opportunity to:

• Research and correct rejected claims and post payments.
• Resubmissions of claims as required with supporting documentation as needed.
• Post payments or rejections received.
• Calling payers and/or working on payer websites to status or reprocess claims as necessary to secure payment for claims.
• Bill Medicare, Medicaid and other insurance carriers.
• Update accounts receivable with new accounts or missed payments.
• Ensure all clients remain informed on their outstanding balances and debts.

We believe that diverse experiences and backgrounds lead to better solutions. While we have an idea of what will help someone succeed in this role, we are open to being convinced by your unique story and skills. If you believe you can achieve the outcomes above, we encourage you to apply.

Core Skills & Experience:

• Great communication, written and verbal, in English
• You're energetic and organized.
• Comfortable with learning new things quickly

Work Environment & Location:

• This is a remote role based in Manila, PH.
• Please note that at this time, we are not able to provide visa sponsorship for this position.

At Verse Medical, our mission is to deliver equitable, hospital-quality care to everyone, regardless of their background or where they live. We can only achieve this if our own team reflects the diversity of the patients we serve. We are committed to building a workplace where everyone feels a sense of belonging, where their contributions are valued, and where they can do their best work. We embrace diversity of all kinds: race, gender, age, religion, identity, experience. We are actively working to build a more inclusive and equitable world, starting from within our own walls. We are an equal opportunity employer.

We are also committed to providing a positive and accessible interview experience. If you require any accommodations to participate in our process, please contact us

We are seeking a dedicated and detail-oriented Medical Biller to join our team. The ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes. You will play a crucial role in ensuring the timely and accurate submission and tracking of medical claims while maintaining compliance with all relevant policies and regulations.

Responsibilities

Accurately input claim information into the system and maintain organized spreadsheets.

Track payments and denials, ensuring claims are processed efficiently.

Resubmit denied or incorrect claims and resolve any related issues promptly.

Prepare and deliver monthly claim billing reports and summaries.

Contact insurance agencies to address inquiries and resolve claim denials.

Utilize tools such as ClickUp, Google Suite, and Trizetto Simple Claim to manage workflows effectively.

Qualifications

Experience in medical billing and claims management.

Proficient in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim.

Strong attention to detail and accuracy in data entry.

Excellent communication skills for handling insurance inquiries and resolving issues.

Ability to analyze claim denials and determine the best course of action.

Self-motivated, organized, and capable of meeting deadlines in a fast-paced environment.

Work Schedule

Monday to Friday, 9:00 AM – 6:00 PM

Preferred Candidate

Female applicants only are encouraged to apply for this role.

Why Join Us?

Be part of a supportive and professional team in the healthcare industry.

Opportunity to develop and enhance your medical billing expertise.

Work in a structured environment with access to the latest tools and technology.

If you are detail-oriented, tech-savvy, and passionate about medical billing, we would love to hear from you Apply today to be part of our growing team.

Join Ideal Tech Staffing and take the next step in your career as a Medical Biller If you have experience in medical billing, strong communication skills, and a keen eye for detail, we want you on our team.

What We're Looking For:

Familiarity with ICD-10 codes, CPT codes, POS, and modifiers

Strong understanding of cost-sharing

Excellent communication skills and phone experience (inbound)

Receptive to coaching and feedback

Strong attention to detail with reliable attendance and work ethic

What's in it for you?

• Competitive salary
• Annual performance-based increase
• Premium pay on holidays
• HMO coverage
• Monetized leave conversion
• Work-life balance

Location: 12th Floor, 1 Nito Building, Archbishop Ave., Apas, Cebu City, Cebu, Philippines

Work Schedule: 8PM-5AM (Fixed Weekends Off)

Employment Type: Full-time

Apply now and be part of our growing team Send your resume to