Responsibilities
- Process, review, and submit billing claims accurately and promptly
- Ensure correct coding and documentation before claim submission
- Track claim status and follow up on outstanding or pending claims
- Maintain comprehensive billing records and claim documentation
- Investigate denied or rejected claims to determine root causes
- Prepare revised claims and appeal documentation
- Collaborate with payers and internal teams to resolve issues
- Analyze denial trends and support process enhancements
- Verify insurance coverage, eligibility, and benefits
- Obtain and monitor required authorizations
- Maintain accurate authorization documentation
- Resolve discrepancies in benefits and coverage
- Accurately post insurance and patient payments
- Reconcile remittance advice and explanations of benefits
- Monitor aging reports and prioritize follow-ups
- Escalate discrepancies or unresolved balances
- Address billing inquiries via email, phone, or portals
- Provide clear updates on claim status and balances
- Communicate professionally with internal and external stakeholders
- Handle sensitive billing matters with discretion
- Ensure compliance with privacy and billing regulations
- Keep organized, audit-ready billing records
- Follow established billing policies and procedures
Requirements
- 1–2+ years of experience in healthcare billing or revenue cycle roles
- Strong understanding of insurance billing processes and claim workflows
- Working knowledge of CPT, ICD-10, and medical billing terminology
- Experience resolving denied or rejected claims
- Strong written and verbal English communication skills
- High attention to detail and accuracy
- Ability to manage high volumes of billing work independently
- Comfort working remotely with minimal supervision
- Experience with healthcare billing or EHR systems (any industry-standard platform)
- Experience with payer portals for claims submission and verification
- Proficiency in Google Sheets or Microsoft Excel
- Experience with communication tools: Email, Slack, Zoom, Microsoft Teams
Nice to Have
- Experience in therapy, behavioral health, or multi-specialty billing
- Billing or revenue cycle certifications
- Experience with authorization management or payer contracting
- Spanish/English bilingual proficiency
- Experience supporting audits or compliance reviews
- Experience with practice management systems (e.g., Kareo, AdvancedMD, athenahealth)
- Experience with clearinghouses (Office Ally, Availity, Waystar, Change Healthcare)
- Experience with accounting or RCM platforms
- Experience with project or task management tools (Notion, Asana, Trello)
Benefits
- Generous PTO: In accordance with company policy
- Direct Mentorship: Access to global industry leaders
- Learning & Development: Continuous growth resources
- Health Coverage (Philippines only): HMO after 3 months (full-time)
Compensation
Competitive Salary: Based on experience and skills
Work Arrangement
Fully remote — work from anywhere
Team
Work with international teams
Other
- Language requirements: excellent English communication skills
- Hours: US Time Zone (candidate expected to be flexible with the client's preference)
