Billing Specialist

Billing Specialist

Location: Clark / Cebu / Manila / Tarlac, Philippines
Work Arrangement: Onsite, Full-time
Shift: Monday - Friday | 9:00 PM - 6:00 AM PHT
Salary Range: Php 72,000 - Php 79,000

Unlock Your Potential!

TOA Global is a purpose-built partner for accounting firms across Australia, New Zealand, North America, and the Philippines - helping them scale smarter by connecting them with exceptional talent. We don't just fill seats; we build careers. When you join TOA Global, you join a community that invests in your growth, celebrates your wins, and sets you up to do the best work of your life.

We're looking for a sharp, detail-driven Billing Specialist to join our Revenue Cycle Management team. In this role, you'll be the backbone of the billing operation - making sure provider claims go out daily, accurately, and without a hitch. From validating clean claims to resolving rejections and collaborating with your team to close the loop on recurring issues, you'll play a critical role in keeping the revenue cycle running like clockwork.

Your Impact

• Coverage Commander: Confirm active insurance coverage and patient eligibility before claims are submitted, ensuring every claim starts on solid ground.

• Clean Claim Champion: Validate claims, apply necessary corrections, and submit spotless claims to payers electronically and via paper - zero guesswork, all precision.

• Edit Eliminator: Apply effective billing techniques and self-directed initiative to resolve all types of billing edits, keeping the queue clear and the cycle moving.

• Daily Drill Sergeant: Log in to the EMR system daily, pull signed superbills from providers, and ensure every claim is validated and dispatched without delay.

• Rejection Rescue Squad: Work rejected claims from the clearinghouse, identify missing or incorrect information, and push them through to acceptance - no claim left behind.

• Weekly Watchdog: Confirm all claims went out for the week, clear rejected and incomplete buckets, and ensure approved claims are properly submitted and accepted.

• Monthly Maestro: Close out the month strong - ensure all claims are submitted, provide management with workload feedback, and handle any additional assignments from the Billing Manager.

• Process Powerhouse: Partner with management and revenue cycle staff to identify inefficiencies, improve workflows, and drive accuracy across the entire billing operation.

• Compliance Correspondent: Keep your Supervisor in the loop on compliance matters, billing issues, and AR trends that emerge during your daily work - communication is your superpower.

What You Bring

• Cycle-Savvy Pro:2+ years of billing, revenue cycle, or accounts receivable experience in a healthcare setting - you know the landscape and how to navigate it.

• EMR-Fluent Operator: Working knowledge of EMR and billing systems, with hands-on experience in Ethizo or similar platforms considered a strong plus.

• Detail Detective: High attention to detail, accuracy, and organization - you catch what others miss and take pride in getting it right the first time.

• Self-Starter Spirit: An independent worker who manages time efficiently, meets deadlines, and thrives without needing a nudge to get things done.

• Tech-Ready Talent: Proficient computer skills, especially across Microsoft Office - Word, Excel, and Outlook are tools you reach for confidently.

• Insurance Insider (Preferred): Practical experience with Medicare, Medicaid, and commercial insurance - knowing how different international payers operate gives you a real edge.

• Communicator Extraordinaire: Comfortable corresponding with supervisors and team members to clarify issues, flag discrepancies, and keep everyone aligned on resolutions.

• Pressure-Proof Performer: Able to maintain accuracy and composure under deadline pressure - monthly and weekly closes don't rattle you, they motivate you.

Why You'll Love It Here

We believe in rewarding high achievers with a work environment that fuels both professional growth and personal well-being.

• Time for You: Enjoy 21 Total Annual Service Incentive Leaves, flexible to use for travel, emergencies, or anything you may need for your Me time.

• Tenure Recognition Program: Celebrate your milestones with us; on your 2nd year, choose between a cash reward or one free HMO dependent.

• Health & Security: Comprehensive HMO and Life Insurance coverage from day one.

• Career on the Rise: Join a growing Revenue Cycle Management team with clear opportunities to deepen your expertise in healthcare billing and advance your career within TOA Global.

• Tools That Work for You: Get equipped with the systems and software you need - from EMR access to Microsoft Office - so you can focus on doing great work, not fighting your tools.

• Team That Has Your Back: Work alongside a collaborative billing team and a supportive Billing Manager who values your input, welcomes your feedback, and wants to see you succeed.

• The Hub Experience: Work from a modern facility featuring custom workstations, a breakout room with billiards, table tennis, or foosball, and over 20 varieties of free coffee and chocolate drinks at our in-house bar.