Medical Billing Service jobs

Job Overview
We are seeking a motivated and detail-oriented Junior Medical Billing & Collections Associate to join our Behavioral Health clinic's Revenue Cycle Management (RCM) team, with a primary focus on Applied Behavior Analysis (ABA) billing and denial resolution. This role supports the full revenue cycle for ABA services, including claim submission, insurance follow-up, denial investigation and appeals, and patient account management.
The ideal candidate has foundational experience in end-to-end Revenue Cycle Management (RCM), thrives in a fast-paced environment, and is flexible in assisting with Intake and Verification of Benefits (VOB) during high-volume periods. This position plays a critical role in ensuring clean claims, timely reimbursement, effective denial resolution, and a positive patient financial experience while maintaining compliance with payer guidelines and ABA billing requirements.
Responsibilities:
Claims Management & Denials Resolution

• Submit accurate and timely insurance claims (electronic and paper) for Behavioral Health services.
• Monitor and follow up on outstanding claims to ensure prompt payment.
• Research, analyze, and resolve insurance denials—including coding issues, eligibility, authorization, and benefit limitations.
• Appeal incorrect denials with appropriate documentation and payer communication.
• Track recurring denial trends and report them to the RCM Manager for process improvements.

Collections & Account Management

• Review patient accounts for outstanding balances and follow internal guidelines for collection outreach.
• Work with patients to clarify balances, payment plans, and billing questions.
• Maintain detailed account notes and documentation of all follow-up actions.

Intake & Verification of Benefits Support

• Assist Intake team with verifying insurance eligibility and benefits (VOB) during high-volume periods.
• Gather and record authorization requirements, copay/co-insurance amounts, and therapy visit limits.
• Support front-office coordination to ensure a smooth transition from scheduling to billing.

General RCM Support

• Maintain accuracy and compliance with HIPAA and all payer policies.
• Collaborate closely with therapists, front-office staff, and management to resolve billing and documentation issues.
• Participate in team meetings and ongoing training to support continuous improvement.
• Perform other administrative or RCM-related tasks as assigned.

QualificationsRequired:

• 1–2 years of medical billing or RCM experience (Behavioral Health or outpatient setting preferred).
• Working knowledge of insurance claims, EOBs, benefits verification, and denial codes.
• Strong attention to detail and excellent organizational skills.
• Ability to communicate professionally with patients, payers, and internal teams.
• Basic proficiency in EMR/Practice Management systems and billing platforms.

Preferred:

• End-to-end RCM experience (charge entry → claim submission → follow-up → payment posting → patient collections).
• Experience in Behavioral Health coding and payer rules (Medicare, BCBS, Cigna, Aetna, UHC).
• Familiarity with Intake workflows, insurance portals, and VOB processes.
• Strong analytical skills with the ability to identify trends in denials and payment issues.

Personal Attributes

• Self-motivated with a strong desire to learn and grow within the RCM field.
• Flexible and able to support multiple functions within the department.
• Team-oriented, reliable, and committed to accuracy and efficiency.
• Excellent problem-solving and follow-through.

Pay: Php40,000.00 - Php50,000.00 per month

Benefits:

• Work from home

Work Location: Remote