We're Hiring: Medical Biller (Initial Claims Submission - RCM Healthcare Process)!

The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, maintaining compliance with industry standards, and ensuring billing accuracy. This role focuses on precise claim preparation, attention to detail, and proper documentation to minimize errors and maximize clean claim rates. The ideal candidate will have a strong understanding of medical billing practices and payer requirements.

Location:Pasig, Philippines
Work Mode:Flexible office & remote (HYBRID)
Role:Medical Biller (Initial Claims Submission - RCM Healthcare Process)

What You'll Do:

Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles
Ensure all claim details are complete and error-free, including coding, provider information, and service dates
Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations
Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections
Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission
Ensure compliance with industry regulations, payer policies, and internal billing procedures
Maintain accurate and organized billing records and documentation
Identify and report billing trends, potential errors, and areas for process improvement
Collaborate with internal teams to standardize billing practices and enhance efficiency
Support billing audits and internal quality control measures
Other duties as assigned

What We're Looking For:

Experience working in billing and health care preferred
Hands-on experience in initial claims submission or creating clean claims from scratch
Worked with payors such as Medicaid, Veterans Affair, etc.
Customer service experience preferred
Excellent follow-up, time management, and communication skills required
Proficiency in MS Office Suite (Outlook, Word, Excel) is required
Familiar with EPIC system, Availity portal
Back-office support & Email customer invoicing
Amenable in working in a graveyard shift and working onsite/hybrid in Ortigas, Pasig City.

Ready to make an impact Apply now and let's grow together!

Medicaid Billing Specialist