Medical Billing & Coding Specialist (Primary Care)
New
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Winning AssistantsHealthcare billing
Preferred Candidate Location: Philippines, Monday through Friday, 9:00 AM to 6:00 PM Eastern Daylight TimeContractJunior
Salary$6 - $7 per hour, depending on experience
Apply NowOpens the employer's application page
Job Details
- Languages
- Must be proficient in speaking and writing clear, professional English.
- Experience
- At least 1 year of proven, hands-on U.S. medical billing experience.
- Required Skills
- HIPAA
Requirements
- At least 1 year of proven, hands-on U.S. medical billing experience.
- Strong understanding of the U.S. medical billing and revenue cycle process.
- Experience preparing, reviewing, submitting, and tracking electronic medical claims.
- Working knowledge of ICD-10, CPT, HCPCS, and E/M billing concepts.
- Familiarity with payer reimbursement guidelines, billing requirements, and timely filing deadlines.
- Hands-on experience managing accounts receivable, unpaid claims, denials, rejections, downcoding, and appeals.
- Experience communicating with U.S. insurance payers about claim status and reimbursement issues.
- Knowledge of medical documentation requirements, payer policies, billing compliance, and HIPAA requirements.
- Proficiency with EHR/EMR systems, practice management software, medical billing platforms, and electronic claims submission tools.
- Comfort using spreadsheets, claims trackers, and billing reports.
- Must be proficient in speaking and writing clear, professional English.
- Must submit an NBI Clearance and/or Local Police Clearance before onboarding.
- Must be available for video meetings with camera on when required and work Monday through Friday, 9:00 AM to 6:00 PM Eastern Daylight Time.
- Requires a reliable computer, high-speed internet connection of at least 25 Mbps, noise-canceling headset, webcam, and quiet professional workspace.
Responsibilities
- Prepare, review, submit, and track medical claims within payer filing deadlines.
- Apply ICD-10, CPT, HCPCS, and E/M billing concepts to identify claim errors and documentation gaps.
- Investigate pending, rejected, denied, downcoded, unpaid, or unfiled claims and determine next steps.
- Process claim corrections, resubmissions, reconsiderations, and appeals.
- Follow up with insurance payers to resolve claims and reimbursement issues.
- Manage assigned accounts receivable, investigate payment discrepancies, and assist with payment posting and billing adjustments.
- Review clinical documentation for completeness and alignment with submitted claims and payer requirements.
- Maintain accurate claims records and daily progress reports, and promptly escalate unresolved concerns and reimbursement risks.
- Collaborate with providers, internal staff, and billing colleagues to resolve issues and improve billing workflows.
- Support the organization's transition to in-house medical billing operations.
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