Healthcare Billing Specialist (ASC Billing)
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Winning AssistantsHealthcare billing
Workable workplace: remote; Workable locations: Philippines, Must be available Monday through Friday, 9:00 AM to 6:00 PM Eastern Time; job post lists work hours as 9:00 AM–5:00 PM PDT.Contract
Salary6 - 7 USD per hour
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Job Details
- Languages
- Must be proficient in speaking and writing clear, professional English.
Requirements
- Have hands-on experience in U.S. medical billing, particularly Ambulatory Surgery Center billing.
- Understand ASC billing workflows, outpatient surgical claims, and revenue cycle management.
- Have experience preparing, submitting, tracking, and following up on ASC claims.
- Have working knowledge of CPT, HCPCS, ICD-10, and ASC-related modifiers.
- Be familiar with Medicare and commercial insurance billing requirements for outpatient surgical procedures.
- Have experience managing denied, rejected, underpaid, and unpaid medical claims, including accounts receivable follow-ups, claim corrections, and appeals.
- Be able to identify billing discrepancies, coding errors, missing documentation, and reimbursement issues.
- Have experience verifying insurance eligibility, coverage, and benefits, and familiarity with EOBs and claims tracking.
- Understand payer-specific billing requirements and reimbursement guidelines; knowledge of HIPAA compliance and patient confidentiality is required.
- Be proficient in speaking and writing clear, professional English.
- Be available full-time, Monday through Friday, for the stated work schedule; the posting lists 9:00 AM–6:00 PM Eastern Time and 9:00 AM–5:00 PM PDT.
- Have a reliable computer, stable high-speed internet of at least 25 Mbps, a noise-canceling headset, a working webcam, and a quiet professional workspace.
- Submit an NBI Clearance and/or Local Police Clearance before onboarding.
Responsibilities
- Manage full-cycle Ambulatory Surgery Center billing, including claims preparation, submission, tracking, follow-ups, denials, appeals, and reimbursement resolution.
- Prepare, review, and submit outpatient surgical claims using appropriate procedure information, modifiers, and supporting documentation.
- Apply ASC-specific CPT/HCPCS codes, modifiers, billing guidelines, and payer requirements to identify claim errors.
- Investigate rejected, denied, underpaid, and unpaid claims; process corrected claims, reconsiderations, and appeals.
- Manage accounts receivable and follow up on outstanding claims, meeting the target of 45 claim follow-ups per day.
- Verify patient insurance eligibility, coverage, and benefits, and coordinate with insurance representatives and internal teams.
- Upload, track, organize, and maintain EOBs and accurate records of claim status and resolution.
- Assist with home health billing, NOA review and processing, and related claims follow-ups as needed, using ALORA when applicable.
- Prepare billing reports, spreadsheets, claims trackers, and documentation, and provide administrative and executive support.
- Handle inbound and outbound calls using Nextiva VoIP, respond to patient inquiries, and provide reception support when needed.
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