Medical Billing Specialist (Onsite - Alabang)

We are looking for a detail-oriented and experienced Medical Billing Specialist to join our healthcare support team. In this role, you will be responsible for managing medical claims, ensuring accurate billing processes, following up on insurance reimbursements, and resolving claim denials while maintaining compliance with healthcare regulations and HIPAA standards.

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
• Solid 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
• Proven experience handling insurance payer follow-ups and resolving claims issues
• Proficient in Microsoft Office applications
• Excellent English communication skills, both verbal and written
• Strong attention to detail, organizational skills, and analytical abilities
• Ability to multitask and work effectively in a fast-paced environment
• Self-motivated team player with the ability to work independently
• Certification in Medical Billing and Collections is an advantage
• Knowledge of Medicare and Medicaid processes is a plus
• Degree in a medical or healthcare-related field is preferred

Responsibilities:

• Perform EOB scanning and daily claims data entry for office visits and injections
• Review billing data to ensure accuracy and compliance with healthcare regulations and company policies
• Validate and maintain accurate patient billing information
• 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 companies until claims are resolved and payments are received
• Review and analyse denied claims and prepare appeals based on payer guidelines
• Collaborate with internal teams to resolve billing discrepancies and reimbursement issues
• Maintain strict confidentiality of patient information in compliance with HIPAA standards
• Respond to billing-related inquiries and provide account support as needed
• Stay updated on healthcare regulations, coding updates, and billing best practices
• Maintain professionalism, accuracy, and efficiency in all billing activities

Benefits:

• Health insurance
• Life insurance

Application Question(s):

• Kindly indicate your interview availability.

Experience:

• Medical Billing Specialist: 3 years (Required)
• US Healthcare: 3 years (Required)

License/Certification:

• Medical Billing and Collections (Preferred)
• Medicare and Medicaid (Preferred)

Location:

• Alabang (Preferred)

Work Location: In person