704 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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Medical Billing/Coding Specialist (JC_MEDICAL BILLING/CODING)

Rate:
$6 – $7 per hour (depending on experience)

Schedule:
Full-time, Monday to Friday | 8:00 AM – 5:00 PM MST

Overview

We are seeking a detail-oriented and experienced Medical Billing & Coding Specialist to join our team. The ideal candidate will be responsible for reviewing coding and billing to ensure accuracy and compliance, handling insurance verifications and authorizations, and collaborating with the billing team for corrections when needed.

Experience with
AdvancedMD
and
Chiropractic billing
is highly preferred.

Billing & Coding

• Review medical documentation and apply correct ICD-10, CPT, and HCPCS codes.
• Audit and validate charges to ensure all services rendered are captured and billed.
• Ensure coding compliance with payer guidelines, state, and federal regulations.
• Work with providers and staff to clarify documentation when coding discrepancies are found.

Medical Scribing

• Accurately document patient encounters in real-time into the EHR.
• Transcribe provider notes, procedures, and treatment plans with a high level of accuracy.
• Ensure all records are complete, consistent, and ready for billing submission.
• Assist providers by reducing clerical tasks, allowing them to focus on patient care.

Insurance & Accounts Review

• Conduct insurance eligibility checks and verify coverage details.
• Submit prior authorization requests and monitor for renewals.
• Track and follow up on denied claims, missing information, or incorrect charges.
• Review patient accounts to ensure balances and responsibilities are accurate.
• Communicate with the billing team to address discrepancies and corrections promptly.

Qualifications

Experience

• At least 1–2 years of experience in medical billing and coding/medical scribing.
• Previous medical scribing experience (preferred in a chiropractic or clinical setting).
• Knowledge of AdvancedMD or other EHR/EMR systems (preferred).

Technical Skills

• Proficiency in ICD-10, CPT, and HCPCS coding.
• Strong understanding of insurance verification and authorization processes.

Soft Skills

• Excellent written and verbal English communication.
• High attention to detail and accuracy.
• Strong organizational and multitasking abilities.
• Ability to work independently and meet deadlines.

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Medical Billing Specialist who will be working with Connext's Client in the United States of America.

What's in it for you?

• Competitive compensation
• Perfect Attendance Bonus
• Life insurance
• HMO Insurance
• Great company culture
• 25% Night Differential
• Annual Increase

What is the job?

The Medical Billing Specialist is responsible for the timely submission of technical or professional medical claims to insurance companies.

Job Description

• Verify patient, billing, and claim details using various hospital and physician systems to ensure accuracy.
• Perform compliant billing functions (primary, secondary, tertiary, rebills) across electronic, paper, and portal platforms.
• Edit and submit claims per payer-specific compliance requirements, addressing issues and missing information as needed.
• Communicate effectively with management, payers, and team members; respond promptly to emails and calls.
• Update patient demographics, insurance info, and track claims using control numbers while following prioritization and documentation protocols.
• Maintain patient confidentiality and uphold hospital policies, while actively participating in training and supporting departmental goals.

Required Qualifications

• At least 1 year of healthcare billing experience, ideally in a hospital or payer setting.
• Skilled in correcting billing errors, resubmitting claims, and resolving denials/underpayments.
• Familiar with EOBs, UB04/1500 forms, and medical coding (ICD-10, CPT, HCPCS, NCCI).
• Able to interpret payer contracts and coordinate third-party payer processes.
• Proficient in EMRs, billing systems, and tools like Outlook, Excel, and Internet Explorer.
• Strong communication, teamwork, and performance-driven work ethic.

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.

• 6 months - 1 year BPO experience in a US Healthcare account
• Good working knowledge with medical claims, benefits, eligibilities, appeals.
• Familiar with US Healthcare Insurance (Medicare, Medicaid)
• Excellent verbal & written English skills
• Ability to display empathy and patience in addressing customer concerns
• Strong problem-solving skills
• Adaptability to a changing work environment
• Ability to remain calm under pressure
• Proficiency in using computer systems & relevant software
• Willing to work onsite in Makati or Mandaluyong
• Amenable working night shift

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

Position Summary:

We are actively seeking an experienced and motivated Medical Billing Specialist to join our team. The successful candidate will play a crucial role in managing the billing process from claim submission to collection. The tasks include verification of benefits, clean claim submission, denial management, claim appeals, and resolving billing-related issues with insurance companies, patients, or other responsible parties for services rendered, as well as maintenance of contracts and provider credentialing status. The ideal candidate should possess in-depth knowledge of billing and collection practices and have a strong track record in resolving complex financial situations.

Job Details:

Work from home

Monday to Friday | 4 PM to 1 AM (Manila Time)

*Following US Holidays

Responsibilities:

• Verification of Benefits

• Verify insurance benefits including coverage, co-pays, and deductibles via AthenaOne auto-verification, or via the internet or phone manually if required, for all new patients and again prior to all follow-up visits.

• Clearly communicate insurance coverage status (co-pays, deductibles, etc.) to the front desk team so that patients and families understand and agree to their coverage for our services.

• Claims Processing

• Prepare and submit clean claims to insurance payers using AthenaOne automated platform.

• Review insurance remittance advice and rebill as applicable
• Evaluate payments/denials received for correctness and ensure they are applied accordingly.
• Detect any overpayments and/or duplicate payments and investigate and resolve accordingly.
• Process refund requests, in accordance with policies and procedures.
• Resolve issues that caused a denial within 5 days of receipt of denial.

• Revenue Cycle and Patient Account Management

• Regularly review outstanding patient accounts for resolution, recommend and submit write-offs, process refunds and adjustments as applicable, provide status updates on delinquent accounts, issue collection letters, and make collection calls as necessary, in accordance with established policies and procedures.

• Ensure accurate addresses are maintained in the billing software to send monthly statements.
• Perform all applicable month-end close duties to ensure the accuracy of data and claims.
• Consistently look for areas to maximize claim reimbursement.

• Internal Assistance with Credentialing

• Help to review and maintain payer contracts

• Work with credentialing specialists to update and add new providers to payer contracts as required
• Review and maintain provider information up to date in registries (CAQH, NPPES, PECOS, state licenses, DEA, etc.)

• Quality Care

• Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.

• Maintain a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
• Ensure that the collection operations are conducted in a manner that is consistent with overall department protocol and follows Federal, State, and payer regulation, guidelines, and requirements.
• Recognize and support patients' rights and responsibilities in the performance of job duties, while respecting their privacy and confidentiality.
• Ad-hoc Tasks: be prepared to undertake other related tasks as they arise, demonstrating flexibility and a team-oriented mindset

Qualifications:

• A high school diploma or general education degree (GED) equivalent.
• Demonstrated excellence (at least 3 years experience) in medical billing.
• Some credentialing experience is a plus.
• Experience with AthenaOne EMR/billing software is preferred.
• Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations.
• Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders.
• 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.

Our brand, Lennor Metier Consulting, a DOLE-licensed headhunting and recruitment agency in the Philippines, is proud to partner with a reputable RCM Company in their search for a Medical Billing Representative based in Ortigas.

Start Date: September 29, 2025

Work Setup: Onsite

Shift Schedule: Night Shift (9PM onwards)

Location: Ortigas

The role

The Medical Billing Representative is responsible for assisting patients with questions and concerns regarding their medical bills. This role focuses on handling inbound calls, explaining account balances, accepting payments, and ensuring accurate resolution of billing issues. The representative serves as the first point of contact for patients and providers, delivering clear information while protecting patient confidentiality in accordance with HIPAA standards.

Your Responsibilities:

• Handle inbound calls from patients regarding statements, balances, and billing concerns in a courteous and professional manner.
• Research account details, clarify discrepancies, and provide accurate information on outstanding charges or payments.
• Process patient credit card payments over the phone to settle self-pay balances.
• Apply basic knowledge of healthcare claims processing, including ICD-9/10, CPT, and HCPCS codes, as well as CMS-1500 and UB-04 forms.
• Utilize billing and practice management systems (e.g., GE Centricity, Epic PB) and other tools to review and update patient accounts.
• Identify, analyze, and resolve issues impacting patient statements or insurance payments.
• Maintain high standards of productivity, accuracy, and customer service as defined by departmental policies.
• Collaborate effectively with team members, leadership, and clients, maintaining a positive and professional work environment.
• Protect patient information by following HIPAA regulations and company data security policies.
• Support special projects and perform other related duties as assigned.

What we're looking for:

• High school diploma or equivalent (college coursework in business, healthcare administration, or related field preferred).
• At least 1 year of experience in medical billing, patient account services, or customer service in a healthcare setting (hospital, clinic, or physician practice).
• Familiarity with U.S. healthcare reimbursement processes, explanation of benefits (EOB), and revenue cycle concepts.
• Knowledge of billing codes (ICD-9/10, CPT, HCPCS) and medical claim forms (CMS-1500, UB-04).
• Proficiency in MS Office applications; experience with GE Centricity or Epic PB is an advantage.
• Strong verbal communication skills with the ability to explain billing information in a clear, empathetic manner.
• Excellent organizational skills, accuracy, and attention to detail.
• Ability to work independently and as part of a team in a fast-paced environment.
• Must remain calm and professional when handling challenging calls.

Why Join this Opportunity?

• HMO on Day 1
• Paid Time Offs
• Employee Engagement Activities
• Competitive Compensation

Ready to take the next step in your career? Submit your application now

--- We kindly request your patience as we receive a significant number of applications. Rest assured that our team will update your application's status soon. In the meantime, we encourage you to follow our LinkedIn page to stay informed about future opportunities and company updates.

Job Type: Full-time

Benefits:

• Health insurance

Application Question(s):

• What's your current salary?
• What's your expected salary?
• What's your notice period?

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:

• Contact patients via phone, email, or mail to discuss outstanding balances, explain charges, and address any concerns or questions related to their bills
• Work closely with insurance companies to resolve claims denials, rejections, or discrepancies, ensuring accurate and timely payment
• Establish and negotiate payment plans with patients, based on their financial situation and organization policies
• Confirm and update patient demographic and insurance information to ensure accurate billing
• Maintain detailed records of all communications, payment arrangements, and actions taken in the collections process
• Stay informed about healthcare billing regulations, compliance requirements, and privacy laws (e.g., HIPAA) to ensure all practices are in accordance with industry standards
• Provide exceptional customer service, demonstrating empathy and professionalism in all interactions with patients and responsible parties

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.

Requirements

• At least 1 year BPO experience handling US Healthcare account
• Good Working knowledge with Accounts Receivable
• Excellent written and verbal English communication skills
• Amenable to work ONSITE in Makati
• Willing to work night shifts

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