Medical Billing Specialist

Location: Philippines

Schedule: EST

Salary: $1,700 - $1,800 USD/month

A premier provider of ABA therapy services dedicated to exceptional care and optimal client outcomes is currently seeking a Medical Billing Specialist to join their team.

As a Medical Billing Specialist, you will play a key role in supporting revenue cycle operations by managing the end-to-end billing process. You’ll ensure accurate billing records, track claims performance, resolve denials, post payments, and serve as a point of contact for internal teams and insurance payers.

Responsibilities

• Claims Generation: Prepare, review, and submit claims to insurance carriers and third-party payers in compliance with regulatory and payer-specific requirements.
• Denial Follow-Up: Investigate, appeal, and resolve denied or rejected claims to ensure timely reimbursement and minimize revenue loss.
• Payment Posting: Accurately record and reconcile payments, adjustments, and remittances in the billing system to keep accounts up to date.
• Trend Communication: Identify recurring issues, payer trends, and denial patterns; prepare reports and communicate findings to management for process improvement.
• Collaboration: Partner with clinical staff, patient services, authorization specialists, and finance teams to resolve billing discrepancies and improve workflow efficiency.
• Compliance: Maintain knowledge of HIPAA regulations, payer guidelines, and industry standards to ensure compliant billing practices.
• Support and maintain accuracy of data in the authorization spreadsheet.
• Communicate with the clinical team and authorization specialists to ensure proper insurance and authorization coverage for clients.
• Accurately audit CentralReach data within prescribed weekly timelines.
• Update CentralReach to reconcile accounts with correct insurance, client, and payment information.
• Contact insurance companies to resolve claims and achieve resolution of recurring or trending issues.
• Generate and update spreadsheets for workflow tracking and reporting.
• Support the RCM team in developing and maintaining efficient billing processes.
• Maintain compliant processes across all areas of billing.
• Complete additional duties as assigned by management.

• Experience with medical billing and credentialing using CentralReach
• Strong attention to detail and accuracy
• Professional written and verbal communication skills
• Strong problem-solving and troubleshooting abilities
• Ability to meet deadlines and work both independently and collaboratively
• Comfortable performing routine and repetitive tasks
• Understanding of billing workflows and systems
• Ability to maintain HIPAA compliance while working remotely
• Basic math skills

If you’re detail-oriented, proactive, and thrive in a fast-paced, service-driven environment, this role is for you!