Back Office Healthcare Account jobs

About Talents.Fit

Talents.Fit is a Philippines-based outsourcing company providing cost-effective HR and Employer of Record (EOR) services to businesses scaling their teams globally. We prioritize strong relationships with our clients, our internal teams, and the talents we support.

Job Summary

We are seeking a detail-oriented and reliable Medical Billing Back Office Specialist to support U.S. healthcare billing operations. This role is responsible for managing claims processing, insurance verification, denial management, payment posting support, and other essential back-office billing functions.

The ideal candidate has at least 3 years of experience in U.S. medical billing, a strong understanding of healthcare billing workflows, and the ability to work independently while maintaining high levels of accuracy and compliance.

Key Responsibilities

Medical Billing Operations

• Enter and process medical claims accurately using billing software
• Review patient, provider, and insurance information for completeness and accuracy
• Ensure timely submission of claims and supporting documentation
• Maintain organized billing records and documentation

Insurance Verification & Eligibility

• Verify patient insurance eligibility and benefits
• Confirm billing information and coverage details before claim submission
• Review payer requirements and ensure compliance with insurance guidelines

Claims Management

• Monitor claim status and identify rejected or denied claims
• Investigate discrepancies and resolve billing issues
• Follow up on claim rejections, denials, and payment delays
• Maintain accurate records of claim activity and resolutions

Coding & Compliance Support

• Review billing information for proper CPT and ICD code usage
• Ensure compliance with payer requirements and billing regulations
• Maintain strict adherence to HIPAA standards and patient confidentiality requirements

Administrative & Team Support

• Coordinate with billing managers and internal teams to ensure smooth billing operations
• Assist with payment posting support and billing reconciliation activities
• Maintain accurate documentation and workflow tracking
• Support process improvements and operational efficiency initiatives

Role Requirements

Must-Have (Non-Negotiable)

• Minimum 3 years of experience in medical billing and back-office operations
• Strong experience with medical claims entry and claims processing
• Solid understanding of U.S. healthcare billing systems and workflows
• Experience performing insurance verification and eligibility checks
• Familiarity with CPT and ICD coding standards
• Experience handling denied, rejected, or disputed claims
• Proficiency with medical billing platforms such as:
• DrChrono
• AdvancedMD
• Kareo
• Or similar billing software
• Strong attention to detail and organizational skills
• Ability to work independently and manage multiple priorities
• Strong written and verbal English communication skills
• Understanding of HIPAA compliance and patient data confidentiality

Nice-to-Have

• Experience working with New York-based healthcare providers or billing systems
• Knowledge of Medicaid and commercial insurance billing guidelines
• Previous experience working remotely with U.S.-based healthcare organizations
• Experience with payment posting and accounts receivable follow-up

Compensation & Logistics

• Work Setup: Remote
• Schedule: U.S. business hours
• Employment Type: Full-time

Industry Context

• Industry: Healthcare Administration & Medical Billing
• This role supports healthcare providers by ensuring accurate claims processing, insurance verification, compliance, and efficient billing operations.

What We're Looking For

• A highly detail-oriented professional with a strong quality-control mindset
• Someone who can work independently while maintaining accuracy and compliance
• A proactive problem-solver who can identify and resolve billing discrepancies
• A dependable team member who understands the importance of timely claims processing and patient data confidentiality

Pay: Php25,000.00 - Php35,000.00 per month

Benefits:

• Company events
• Flextime
• Pay raise
• Work from home

Application Question(s):

• Do you have medical billing and back-office operations experience?
• How many relevant years of experience do you have?

Work Location: Remote