Accelerate Healthcare Payments Through Accurate Claims and Billing Excellence
The Medical Billing & Collections Specialist plays a strategic role in strengthening the healthcare revenue cycle by ensuring accurate claims processing, faster reimbursements, and effective denial resolution that directly impact financial performance and patient care continuity. This role supports a specialized healthcare provider where precision and compliance drive outcomes, while offering a long-term global career with Emapta and a top 1% experience for high-performing professionals.
Snapshot
Employment Type: Full time
Shift: Night shift, weekends off
Work Setup: Onsite, Alabang
Benefits
- Day 1 HMO coverage with free dependent
- Competitive salary package
- Night differential pay to maximize your earnings
- Prime office location in Alabang with access to transport, restaurants, and banks
- Fixed weekends off
- Salary Advance Program through our banking partner (Eligibility and approval subject to bank assessment. Available to account holders with minimum of 6 months company tenure.)
- Unlimited upskilling through Emapta Academy courses (Want to know more Visit: https://emapta.com/training-calendar/)
- Free 24/7 access to our office gyms (Ortigas and Makati) with a free physical fitness trainer!
- Exclusive Emapta Lifestyle perks (hotel and restaurant discounts, and more!)
- Unlimited opportunities for employee referral incentives across the organization
- Standard government and Emapta benefits
- Total of 20 annual leaves to be used on your own discretion (including 5 credits convertible to cash)
- Fun engagement activities for employees
- Mentorship and exposure to global leaders and teams
- Career growth opportunities
- Diverse and supportive work environment
Qualifications
- At least 3 years of hands-on experience in US healthcare medical billing, claims follow-up, collections, denial management, or accounts receivable processes
- Strong knowledge of HIPAA guidelines and healthcare billing compliance standards
- Strong understanding of CPT, ICD-10, and HCPCS coding systems
- Familiarity with medical billing terminology, insurance claims, EOBs, and reimbursement workflows
- Experience using medical billing software and EHR systems
- Experience handling insurance payer follow-ups and resolving claims issues
- Proficiency in Microsoft Office applications
- Excellent communication and organizational skills
- Strong attention to detail and ability to work independently or within a team
Preferred
- Certification in Medical Billing and Collections is an advantage
- Knowledge of Medicare and Medicaid processes
- A degree in a medical or healthcare-related field is a plus
Responsibilities
- Perform EOB scanning and daily claims data entry for office visits and injections
- Review billing data to ensure accuracy and compliance with company and healthcare regulations
- Validate and maintain patient billing information accuracy
- Track, monitor, and follow up on insurance claims to ensure timely reimbursement
- Check payer portals and confirm claim acceptance and processing status
- Conduct follow-up calls with insurance payers until payment resolution
- Review and analyze payer denials and prepare appeals based on payer guidelines
- Collaborate with internal teams to resolve billing and reimbursement issues
- Maintain strict confidentiality of patient information in compliance with HIPAA standards
- Provide support for billing-related inquiries and assigned accounts
- Stay updated on healthcare regulations, coding changes, and billing best practices
- Participate in required meetings and team activities
About the Client
Our client is a specialized healthcare provider recognized for delivering evidence-based, patient-centered care through advanced treatment approaches and a strong foundation in clinical excellence. With a commitment to precision and integrity, the organization upholds rigorous standards in accuracy, compliance, and data privacy. It continues to drive innovation and operational efficiency, enabling consistently high-quality patient outcomes while supporting a culture of accountability and continuous improvement.
Join the Top 1% Talent. A better career. A better life.
Welcome to Emapta Philippines: home to professionals who choose growth, balance, and impact. Recognized as one of HR Asia's Best Companies to Work For in Asia 2025 and a finalist in the 2026 Inspiring Workplaces Awards Asia, Emapta offers more than opportunities -- it provides a career environment where people thrive. Collaborate with global teams, build meaningful expertise, and grow in a culture that prioritizes both performance and well-being.
Apply now and experience the difference!
