176 Medical Billing jobs in the Philippines

Position Code:
KU-HMM

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

Work Hours:
Between 10:00 AM – 6:00 PM EST

Work Days:
Monday – Friday

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

Background

A medium-sized mental health practice is seeking a full-time Medical Billing & Administrative Virtual Assistant to strengthen its operational efficiency. The clinic provides mental health services and has experienced delays in its billing process due to outsourcing. By bringing billing and administrative functions in-house, they aim to streamline their billing cycle, improve compliance, and ensure audit readiness—all while continuing to provide exceptional care to patients.

Key Responsibilities

Billing & Coding

• Manage insurance claims processing, billing, and verification with accuracy and timeliness.
• Perform medical coding tasks to ensure proper claim submission and reimbursement.
• Provide billing support, including patient billing inquiries and follow-up.
• Assist with compliance management to maintain audit readiness.

Outreach & Relationship Management

• Call and follow up with B2B prospects (referrals, partners, healthcare providers).
• Professionally communicate with B2C clients, including high-net-worth individuals.
• Support basic marketing and outreach efforts to maintain strong referral networks.

Financial & Compliance Support

• Conduct financial analysis and reporting to support decision-making.
• Perform bookkeeping tasks, including payment reconciliation.
• Ensure adherence to healthcare compliance regulations.

Administrative & Provider Support

• Serve as a medical receptionist and administrative assistant, handling patient inquiries and correspondence.
• Coordinate with healthcare professionals and support providers with scheduling and documentation needs.
• Manage email and text communications (sorting, prioritizing, responding, and sending newsletters).
• Develop and maintain standard operating procedures (SOPs).
• Support credentialing processes for providers as needed.

Required Skills & Experience

• Proven experience in medical billing and claims processing.
• Strong knowledge of medical coding standards.
• Familiarity with compliance regulations in healthcare.
• Experience with credentialing processes.
• Strong analytical skills and ability to conduct financial analysis.
• Proficiency in bookkeeping and SOP creation.
• Tech proficiency with SimplePractice and Tebra (EHR/EMR systems).
• Proactive, adaptable, detail-oriented, and patient with communication.

Technical Requirements

• Device:
  Reliable desktop or laptop computer
• Internet:
  High-speed connection (minimum 15 Mbps)
• Audio:
  Noise-canceling headset
• Video:
  Webcam for virtual meetings
• Workspace:
  Quiet, professional work environment

Job Highlights:

Contract type:
Independent Contractor

Night Shift Schedule:

Monday to Thursday - 8:45am to 5:00pm New York Time (9:45pm - 5:00am Manila Time)

Friday - 8:45am to 3:45pm New York Time (9:45pm - 3:45am Manila Time)

Job Description:

You will be assisting the Compliance team members to meet their responsibilities to maintain the most current laws, procedures, and guidelines for all 50 states local, federal, and Medicaid autism-related ABA regulations. Assist the team member in completing audits, coding, and drafting documents in a timely and professional manner.

Job Responsibilities:

• Review Medicaid regulations related to ABA for all 50 states
• Review State Autism Insurance Mandates for all 50 states
• Review state practice laws related to ABA
• Review payer policies and guidelines followed by summarizing findings
• Review payer contracts
• Audit medical records to ensure services billed are supported by documentation
• Drafting appeal letters to payers in response to medical records audits
• Coding of OT, PT, and SLP
• Coding of Psychological testing and Developmental testing

Job Requirements:

• 2-year college degree
• 2-year experience in US-based medical billing practice or 2-year experience in a medical practice dealing with billing including but not limited to, provider credentialing, auth, reimbursement, etc. preferably in Behavioral Health to some degree
• Must have backup power supply (extra laptop/power bank/generator/UPS/reside near a coworking space)

Knowledge/skills/abilities:

• Detail orientated with above-average organizational skills
• Able to plan and prioritize to meet deadlines
• Excellent verbal and written communication
• Communicates clearly and effectively
• Excellent reading comprehension
• Excellent computer skills, including Microsoft programs such as Excel, Word
• Thorough understanding of navigating the internet

Core Values:

We hire, fire and promote based on these core values + job-specific performance.

1. Respectful of our unique cultural environment

2. Absolute confidentiality

3. Embracing teamwork

4. Loyal behavior and positive attitude

5. Accountability

6. Pro activeness

7. Thoroughness

8. Focused on results

9. Inspired to learn and grow constantly

10. Devoted to providing top-tier services to our clients through the company's "Unique Service Oriented Philosophies"

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Steady freelance job
• Profit sharing incentive
• Paid time off
• Holiday pay
• Annual Performance and Raise Evaluation
• Quarterly Perfect Attendance Incentive
• HMO
• BruntWork Loan Assistance

Please note that since this is a permanent work-from-home position and an "Independent Contractor" arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.

ZR_24205_JOB

Medical Biller & Claims Processor

RML-PH - Quezon City (Remote)

Please note: Submitting multiple applications for the same position may delay your review of your candidacy. We encourage you to apply once and ensure all information is complete and accurate.
About Us
RML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape. With a mission to provide accessible, high-quality healthcare services and cutting-edge solutions, RML-PH focuses on holistic patient care and embraces the latest advancements in health technology. Our team is dedicated to providing top-tier customer care, leveraging expertise and technology to exceed expectations. Join us at RML-PH to be part of a dynamic team committed to delivering excellence in healthcare customer service.

Position
We are seeking a highly motivated and detail-oriented individual to join our team as a
Medical Billing & Claims Processor
. In this role, you will play a critical part in ensuring accurate and timely billing, as well as claims processing and follow-up. You will work closely with insurance companies, doctors/facilities, and internal departments to manage the entire billing and claims lifecycle, from initial submission to follow-up and resolution.

Responsibilities:

• Compile necessary information, including patient demographics, insurance information, provider details, and procedural. codes
• Analyze, prepare, and submit medical claims to insurance payers through our electronic billing system
• Assign and enter appropriate CPT and ICD-10 codes on claims
• Investigate and resolve payment discrepancies, coordinating with other departments when necessary
• Maintain accurate records of billing and claim activities, ensuring compliance with payer guidelines and company policies
• Stay up-to-date on billing regulations and implement process improvements
• Participate in internal meetings and training sessions to stay informed of industry updates
• Additional responsibilities as required to meet business needs

For AR:

• Effectively manage patient calls or inquiries related to insurance claims and balances
• Monitor the status of submitted claims to resolve rejections or delays and resubmit as needed
• Follow up on unpaid insurance claims by checking insurance portals or contacting insurance customer service

Qualifications:

• High school diploma or equivalent; additional certification or education in healthcare or a related field is preferred
• Certification or experience as a medical coder is preferred
• 2+ years of experience in medical billing, claims processing, or a related field
• Proficient in medical coding systems and terminology (CPT, ICD-10, HCPCS)
• Working knowledge of AdvancedMD software is preferred
• Strong knowledge of insurance billing procedures and payer guidelines (Medicare, Medicaid, private insurance)
• Experience using electronic medical records (EMR) and billing software
• Strong attention to detail, with excellent analytical and problem-solving skills
• Ability to multitask and prioritize in a fast-paced environment
• Effective communication skills in English, both written and verbal
• Ability to work independently and collaborate with team members to resolve issues
• Familiarity with HIPAA regulations and compliance requirements

How to Apply:
Interested candidates are encouraged to submit their resumes and a cover letter outlining their qualifications and how they would contribute to RML-PH's success via LinkedIn.

Additional Details:

• Ideal start date: December 2024
• Schedule: Monday to Friday, 10:00 PM to 7:00 AM
• Work Location: Remote (Quezon City, PH)
• Job Type: Full-time
• Salary: Php 35,000 to 45,000 per month

Benefits:

• Equipment provided
• Contributions to PhilHealth, SSS, and Pag-IBIG
• Paid leave: Sick, Paternity, Annual, and Public holidays
• Monetary compensation: 13th-month pay and overtime
• New hires begin as contractors for the first two months before being reviewed for direct employment

Requirements:

• All employees must undergo a background check, and continued employment is dependent on its outcome
• English proficiency is required

At RML-PH, we care for our team members and their well-being. We are an equal-opportunity employer and value diversity, striving to create an inclusive workplace for all. We encourage candidates of all backgrounds and experiences to apply.

Disclaimer:
All positions at RMLPH require a background check during the onboarding process. Continued employment is dependent on the outcome of the background check.

RML-PH does not partner with staffing agencies. Resumes submitted unsolicited by agencies will not be considered, and RML-PH assumes no responsibility for fees incurred.

Please view this job listing on LinkedIn for an up-to-date status. Other job sites may repost our listings but do not always remove them once filled.

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New U Therapy Center & Family Services
Are you looking for a
hands-on internship opportunity
in the healthcare industry? Do you want to gain valuable, real-world experience in
medical billing and coding
while working with a supportive and dynamic team? If so, you may be the perfect candidate for our
Medical Billing Internship Program
at New U Therapy Center & Family Services.

New U Therapy Center & Family Services is a one-stop-shop, modern, and innovative mental health clinic that offers all needed services for a person to be well and happy within one place for convenience, quality, and time-saving care and coordination.

We are a multidisciplinary, multiplication, and telehealth clinic in the state of California. We are located in the beautiful cities of Valencia, Westlake Village, San Louis Obispo, and Torrance. We are blessed to work with mid to high-income populations, where you can focus on the clinical work in a friendly environment and a beautiful clinic.

Please read more about New U Therapy Center & Family Services here:

We are looking for a motivated and detail-oriented medical billing intern to join our team.

As a medical billing intern, you will be responsible for:

• Assisting with the preparation and submission of claims to various insurance companies and government agencies
• Reviewing and verifying the accuracy and completeness of patient information and billing data
• Following up on unpaid or rejected claims and resolving any issues or discrepancies
• Researching and applying the latest coding guidelines and regulations
• Maintaining and updating electronic medical records and databases
• Performing other administrative tasks as assigned by the supervisor

To qualify for this internship, you must:

• Be currently enrolled in an undergraduate or graduate degree program in healthcare administration, health information management, or a related field
• Have completed or are currently taking courses in medical terminology, medical billing and coding, or any related course
• Have a basic knowledge of ICD-10, CPT, and HCPCS codes and modifiers
• Have a strong proficiency in Microsoft Office, especially Excel, and Word, and Google Workspace
• Have excellent communication, organizational, and problem-solving skills
• Have a high level of accuracy and attention to detail
• Be able to work in a team

This is a part-time internship, remote, and work hours depend on your availability, Monday to Friday, 9 am to 6 pm. Pacific Time.

This is not a paid internship but you will receive mentorship from our experienced and friendly Medical Billing staff and the opportunity to learn and grow in a fast-paced and rewarding environment.

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Employment Type: Full-Time Employment

Work Setup: Onsite onboarding for two weeks, followed by a transition to a remote setup.

Work Schedule: Night Shift (Following U.S. Time Zone)

Location: Eastwood, Libis, Quezon City

Salary Package: 40,000 PHP to 55,000 PHP/Monthly

Duties and Responsibilities:

• Work Hold Buckets
• Make corrections to the following:
• Provider information
• Patient insurance discrepancies
• Credentialing information
• Patient demographics
• Other issues as requested
• Provide the following:
• Additional documentation requested
• Missing referral/authorizations
• Work Manager Hold Buckets
• Provide additional documentation requested

• Address patient insurance issues, including:

• Medical policy

• Benefits coverage
• Coordination of benefits
• Other
• Respond to questions regarding coding clarification
• Work Charge Entry for Office and Procedures
• Review claims to optimize coding and ensure all procedures, tests, etc., were billed
• Enter charges by the end of the business day following provider's closing encounter
• Double check schedule with charge entry to identify any missing slips
• Review Insurance Refunds Worklist
• Review and confirm insurance refunds before presenting to the practice

• Ensure refunds are properly handled

• Review Patient Refund Worklist

• Review and confirm patient refunds before presenting to practice

• Coordinate payment with practice manager and/or physician(s)

• Work Unpostables

• Gather EOBs, scan and upload into Athena

• Review Collections Worklist

• Review collections weekly
• Follow strict protocol regarding patient letters and phone calls regarding payment
• Call patients requesting payment in-full or work-out payment arrangements

• Send patients ready for collections directly to practice or collection agency

• Review Claim Attachment Error Queue

• Review and correct claim attachment errors

• Review claim attachment faxes that Athena did not associate with a claim

• Review Zero Pay Report

• Review for underpayment

• Initiate corrections

• Review and provide Practice Reports monthly or upon request

• Run A/R Aging Wizard
• Denial Report
• Run Activity Wizard
• Present reports with recommendations for improvement, as needed

Skills Requirements:

• Excellent communication skills, both oral and written
• Ability to organize and prioritize multiple deliverables
• Ability to work and think independently
• Attention to detail and strong emphasis on quality
• Ability to research and problem solve
• Ability to work collaboratively within the department
• Ability to work with multiple screens and/or systems to maintain productivity standards

Job Requirements:

• Bachelor's Degree of any related field

• 2+ years of medical billing experience (pain management specialty required).

• Proficiency with Athenahealth (Athena) billing platform is required.

• Strong knowledge of CPT, ICD-10, and HCPCS coding for pain management services.
• Experience with commercial, Medicare, and Medicaid billing processes.
• Excellent communication, problem-solving, and organizational skills.
• Ability to work independently and meet deadlines in a fast-paced environment.

WHY INTELASSIST?

We grow together. We value your effort. We aim to empower you.

Job Type: Full-time

Pay: Php40, Php55,000.00 per month

Benefits:

• Company Christmas gift
• Company events
• Health insurance
• Opportunities for promotion
• Promotion to permanent employee

Work Location: In person

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist 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 & responsibilities:

• Perform eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Following up on unpaid claims within the standard billing cycle timeframe.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.

Job Description:

• Provides customer support through different communication channels (Phone, email, chat).
• Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services.
• Collaborate with colleagues and different departments to resolve complex issues
• Maintain accurate records on customer interactions, transaction, feedback, etc.

• At least 6 months - 1 year BPO experience in a Healthcare account
• Knowledgeable with medical claims, benefits, eligibilities, appeals.
• Good working knowledge with Medicare/Medicaid
• Excellent verbal and written English skills
• Amenable working night shift
• Willing to work onsite in Shaw Blvd, Mandaluyong

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

• Stong 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

We are looking for an organized, adaptable and experienced Medical Billing Specialist for Dental group.

The Medical Billing Specialist is responsible for achieving the billing targets of the practices. This person must have prior dental billing experience and be familiar with Government and Commercial Insurance plans.

Key Responsibilities

• Posting CDT codes to patient's ledger based on provider clinical notes according to billing guidelines
• Submission of insurance claims using practice management software
• Ensuring claims are submitted with correct attachments such as x-rays, narratives, perio charting and intraoral photos
• Ascertaining why claims have been rejected and implementing corrective measures
• Identifying irregularities such as missing payments, missing procedures etc in patient accounts
• Responsible for reconciling all payments received by the practice through multiple payment methods
• Processing prior authorizations for procedures on behalf of the patient
• Auditing clinical notes by treatment coordinators and posting procedures to patient's treatment plan
• Compiling dental records in response to requests from patients and dental insurances

Qualifications

• Experience in Dental Office setting of at least 5-10 years
• Excellent knowledge of Dental Insurances, specifically PPO, DMO, DHMO (Capitation), and NYS Managed Care Programs
• Understanding In-network /Out-of-network benefits as well as fee for service
• Possess working knowledge of General Dentistry and Orthodontics such as common procedures and treatment

• Up to date knowledge of ADA billing guidelines including CDT coding updates and frequency limitations

• Strong English written and verbal communication skills to effectively relate data to coworkers

• Excellent critical thinking skills to help solve business problems and make decisions

• Possess our core values of commitment, quality, respect, communication and teamwork

• Demonstrated ability to manage time and prioritize projects to meet deadlines
• Have a high speed internet connection and dedicated workspace in order to work from home
• Ability to maintain confidentiality regarding highly sensitive issues
• Ability to work collaboratively with managers and team members in NYFD Field Operations and NYFD HQ Operations

General Skills

• Insurance verification
• Claims processing
• Payment posting
• RCM
• Dental Insurance Plans
• EOBS
• Fee Schedules

Qualifications of a Medical Billing Clerk

• At least a Bachelor's degree in Accountancy, Business Administration, Finance, or any related field.
• Fresh graduates may be considered if they demonstrate strong aptitude for accounting and clerical tasks.
• Preferably with 1–2 years of experience in billing, accounting, or clerical work in a hospital, clinic, or healthcare setting.
• Familiarity with PhilHealth claims processing and Health Maintenance Organization (HMO) billing is an advantage.
• Knowledge of medical billing and collection procedures, including coding, insurance claims, and patient account reconciliation.
• Proficient in MS Office (Excel, Word) and exposure to hospital information systems or billing software.
• Ability to prepare, review, and process invoices, statements of account, and insurance claims accurately.
• Strong numerical, analytical, and problem-solving skills.
• Good organizational and time management skills to meet billing deadlines.
• Accuracy and attention to detail.
• Honest, trustworthy, and maintains confidentiality of patient and financial records.
• Good communication and interpersonal skills for coordinating with patients, HMOs, and internal hospital departments.
• Ability to work under pressure and handle multiple billing tasks.
• Patient, systematic, and results-oriented.

Job Types: Full-time, Permanent

Benefits:

• Company events
• Employee discount
• Flexible schedule
• Paid training

Work Location: In person