US Medical Biller (Onsite to WFH)

Description

About the Role



Snapscale is looking for a detail-oriented Medical Biller to manage insurance claims, payment posting, denial resolution, and insurance verification for a US-based healthcare practice. The ideal candidate has a strong understanding of medical billing procedures, excellent problem-solving skills, and the ability to maintain accurate billing records while ensuring claims are submitted correctly and on time.

Responsibilities



• Prepare and submit primary and secondary insurance claims accurately and on time.
• Review new patient accounts to verify that all required information is complete and correctly entered.
• Scrub claims to ensure billing codes, units, and other claim details are accurate before submission.
• Batch and submit electronic claims through the designated clearinghouse.
• Review rejected and denied claims, correct errors, and resubmit claims as needed.
• Prepare paper claims with supporting documentation and coordinate mailing when required.
• Return unbillable claims to the appropriate front-desk team with clear notes on missing information or required corrections.
• Post patient payments and maintain accurate payment records.
• Follow up on unpaid claims by contacting insurance companies or using insurance portals.
• Communicate with patients to address billing questions and help resolve payment concerns.
• Verify patient insurance eligibility and benefits, including copays, deductibles, coverage, and prior authorization requirements.
• Coordinate with insurance companies, patients, and healthcare providers to clarify coverage and obtain missing information.
• Upload and update patient information in the electronic medical record (EMR) and billing systems.
• Ensure insurance verification details and billing activities are accurately documented.
• Protect confidential patient information and follow applicable healthcare privacy requirements.

Work Arrangement



• Setup: Onsite for the first 6 months, with a transition to work-from-home afterward, subject to company requirements and performance.
• Employment Type: Full-time
• Salary: ₱25,000–₱40,000 per month

Perks

• HMO upon completion of 3 months
• Attendance bonuses and employee incentives
• Referral bonus
• 24 leave benefits
• Free lunch onsite
• Transportation allowance
• Annual salary increase based on performance appraisal
• Career growth and development opportunities
• Fun and supportive work environment

Requirements

• Previous experience as medical biller, claims processing, or healthcare revenue cycle management.
• Knowledge of primary and secondary claims, claim scrubbing, payment posting, denials, and resubmissions.
• Experience verifying insurance eligibility, benefits, copays, deductibles, and authorization requirements.
• Familiarity with insurance portals and electronic claims clearinghouses.
• Experience using EMR/EHR or medical billing systems.
• Strong attention to detail, analytical skills, and problem-solving abilities.
• Good written and verbal English communication skills.
• Ability to manage multiple claims, meet deadlines, and maintain accurate documentation.