Medical Billing Specialist
New
C
Core-VA SolutionsHealthcare
Manila, Metro Manila, Philippines. Makati, Philippines. Cavite, Calabarzon, Philippines. Davao, Davao Region, Philippines. Iloilo, Western Visayas, Philippines. Central Luzon, PhilippinesFull-Time
Salary7 USD per hour
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Job Details
- Required Skills
- Microsoft ExcelHIPAA
Requirements
- Proven experience in full RCM, Medicaid billing, claims processing, and denials management.
- Hands-on experience with a Medicaid claims portal.
- Strong knowledge of billing compliance, service logs, units, modifiers, and authorizations.
- Proficient in Excel for tracking, reconciliation, and reporting.
- Experience supporting U.S. healthcare clients.
- Knowledge of HIPAA and healthcare confidentiality requirements.
- Ability to work independently in a remote environment.
- Experience with EMR/EHR systems and Payer Portals (nice to have).
- Experience with QuickBooks or accounting systems (nice to have).
Responsibilities
- Execute full Revenue Cycle Management (RCM) and end-to-end Medicaid billing processes.
- Perform claim submission, denials management, corrections, and resubmissions.
- Verify eligibility, authorizations, service documentation, units, and modifiers prior to billing.
- Reconcile service logs against claim data to identify and resolve discrepancies.
- Monitor claim statuses and address compliance gaps.
- Maintain billing trackers, reconciliation sheets, and client records.
- Prepare billing and financial reports for U.S. healthcare clients.
- Communicate professionally with clients via email and phone regarding billing matters.
- Ensure strict adherence to state billing requirements and HIPAA confidentiality.
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