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Open nowPosted 3 days ago

Medical Billing & RCM Specialist

Workable (global search)108,016 open roles

Where
Philippines
Work mode
Remote
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Your applicationOpen nowMedical Billing & RCM SpecialistWorkable (global search) · Philippines

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The clock on this job

Early applications get read.

7.9% of postings close within 7 days. Measured by our own scanner across the market. Workable (global search) postings stay open a median of 7 days.

Share of postings closed within
  1. 1.6%1 day
  2. 3.6%3 days
  3. 7.9%7 days
  4. 14.9%14 days
  5. 34.0%30 days
This job: posted 3 days ago

Workable (global search) median: 7 days open

The posting

Job Title: Medical Billing & RCM Specialist Position Type: Full-Time Work Hours: 8:00 AM–4:30 PM PDT (30-minute unpaid lunch) Work Days: Monday–Friday; occasional weekend work may be required as the business grows Salary: $5–$6/hour, depending on experience Workplace: Remote Preferred Candidate Location: Philippines

About the Role

Our client is a growing U.S.-based healthcare diagnostic practice specializing in respiratory, pulmonary, and sleep-related testing. They are looking for an experienced Medical Billing & RCM Specialist who can take ownership of daily billing operations, resolve claim issues, and help maintain a healthy revenue cycle.

The ideal candidate has strong hands-on experience with U.S. medical billing, claims, denials, unpaid claims, insurance verification, and prior authorizations. This role requires someone detail-oriented, organized, proactive, and comfortable working independently across multiple healthcare systems.

Key Responsibilities

  • Manage day-to-day medical billing and Revenue Cycle Management (RCM).
  • Prepare, submit, and track medical claims through payment.
  • Investigate and resolve claim denials, rejections, and unpaid claims.
  • Follow up with insurance companies regarding outstanding claims and reimbursement.
  • Perform insurance eligibility and benefits verification.
  • Process and track prior authorizations and ensure proper documentation.
  • Work extensively with Optum, which covers the majority of the practice's patients.
  • Maintain accurate patient, billing, insurance, referral, and authorization records.
  • Use Office Ally and other systems, including insurance portals, clearinghouses, Square, spreadsheets, and shared drives.
  • Maintain clear documentation of billing activities and unresolved issues.
  • Communicate professionally with insurance representatives, patients, and healthcare offices as needed.
  • Follow established SOPs and workflows while maintaining HIPAA compliance.

Requirements

  • U.S. healthcare experience is required.
  • Medical Billing and RCM experience is required.
  • Experience handling claims from submission through payment.
  • Experience resolving denials, rejections, and unpaid claims.
  • Insurance verification and prior authorization experience is required.
  • Experience using healthcare billing, EHR, or practice management systems.
  • Office Ally experience is highly preferred.
  • Optum experience is a strong advantage.
  • Experience with insurance portals and clearinghouses.
  • Strong understanding of U.S. medical billing and insurance workflows.
  • Previous remote/VA experience is preferred but not required.
  • No medical degree or clinical license is required.

Skills & Basic Requirements

  • Strong attention to detail, organization, and problem-solving skills.
  • Ability to manage multiple claims, follow-ups, and deadlines.
  • Strong written and verbal English communication skills.
  • Professional phone communication skills.
  • Ability to work independently and follow detailed SOPs.
  • Knowledge of HIPAA compliance; certification is preferred.
  • Must provide an NBI Clearance and/or Local Police Clearance before onboarding.
  • Must be available for video meetings with the camera on when required.

Technical Requirements

  • Computer: Reliable laptop or desktop computer.
  • Internet: Stable high-speed internet connection (minimum 25 Mbps).
  • Audio: Noise-canceling headset.
  • Video: Working webcam for virtual meetings.
  • Workspace: Quiet and professional work environment.

Benefits

  • Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
  • Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
  • HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
  • Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
  • Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
  • Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
  • Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
  • Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.

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