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
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Claims Generation: Prepare, review, and submit claims to insurance carriers and third-party payers in compliance with regulatory and payer-specific requirements.
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Denial Follow-Up: Investigate, appeal, and resolve denied or rejected claims to ensure timely reimbursement and minimize revenue loss.
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Payment Posting: Accurately record and reconcile payments, adjustments, and remittances in the billing system to keep accounts up to date.
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Trend Communication: Identify recurring issues, payer trends, and denial patterns; prepare reports and communicate findings to management for process improvement.
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Collaboration: Partner with clinical staff, patient services, authorization specialists, and finance teams to resolve billing discrepancies and improve workflow efficiency.
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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.
Requirements
- 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!
