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    • At least 3 years of medical billing experience with hands-on denial management and appeals.
    • Ability to work independently and manage multiple patient accounts.
    • View all RCM Staff BPO jobs - Philippines jobs - Medical Biller jobs in Philippines
    • Salary Search: Medical Billing Specialist - athenahealth salaries in Philippines
    • 2–3 years of medical billing experience (required).
    • Experience with home health preferred.
    • Shift: Must be able to work US Pacific Coast Time zone.
    • Ensure compliance with HIPAA and other regulatory requirements related to medical billing.
    • Continuously stay updated on changes in medical billing codes,…
    • Referral coordination, including requesting medical records from previous primary care providers.
    • Monthly medical allowance (after 6 months).
    • Must be able to work EST hours.
    • Clinical Knowledge: Strong mastery of medical terminology, anatomy, and pharmacology.
    • Fluent in English (Written and Verbal).
  • View similar jobs with this employer
    • Upload and organize documents from external facilities.
    • Request lab results from external labs and track pending items.
    • Claims Processing & Insurance Follow-Up.
    • Background in healthcare administration, medical billing, or skilled nursing facilities.
    • Collect billing information and client contact details.
    • Strong understanding of the medical billing revenue cycle.
    • Minimum of 1 year of recent U.S. medical billing experience.
    • Maintain detailed records of billing activity and progress toward collection goals.
    • Reliable internet connection and secure, HIPAA-compliant home workspace.
    • Minimum of 1 year experience in home health medical coding.
    • Review and analyzae medical documentation to identify the appropriate diagnostic and procedural…
    • Background in healthcare administration, medical billing, or skilled nursing facilities.
    • Collect billing information and client contact details.
    • This role works closely with healthcare professionals to ensure medical records meet documentation standards and regulatory requirements.
    • Contact physician offices to obtain medical records, clarify documentation, and resolve billing or procedural questions.
    • Experience as a Medical Underwriter.
    • Experience managing the complete medical billing lifecycle from claim submission through payment posting and collections.
    • Medical billing: 5 years (Required).
    • Monthly medical allowance (after 6 months).
    • A degree OR some units in allied terminologies medical course is preferred.
    • Personal assistant to the physician.

Job Post Details

Medical Billing Specialist - athenahealth - job post

RCM Staff BPO
Philippines
PHP 70,000 - PHP 99,000 a month

Job details

Pay

  • PHP 70,000 - PHP 99,000 a month

Job type

  • Full-time

Location

Philippines

Full job description

Job Summary

RCM Staff BPO is hiring a full-time Medical Biller and Denial Management Specialist to support a telehealth practice in Colorado.
You will own the full revenue cycle in athenahealth, working claim holds and rejections, appealing denials through resolution, following up on payer and patient A/R, posting payments, and serving as a friendly point of contact for patient billing calls. This role requires hands-on denial management experience, excellent spoken English, and strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.

Key Responsibilities

  • Work payer A/R in athenahealth: resolve claim holds and rejections, follow up on unpaid claims, and appeal denials through resolution
  • Manage prior authorizations, including DME requests
  • Answer inbound patient billing calls; explain EOBs and patient responsibility clearly and with empathy
  • Set up payment plans and conduct outreach on outstanding patient balances
  • Post and reconcile payments; prepare accounts for collections or write-off per practice policy
  • Track denial trends and report A/R performance to practice leadership
  • Maintain punctual, on-camera presence in the practice's virtual office during scheduled hours
  • Protect patient information and follow HIPAA requirements

Qualifications

  • Excellent spoken English and a warm, professional phone presence (this role speaks with patients daily)
  • At least 3 years of medical billing experience with hands-on denial management and appeals
  • At least 3 years working commercial, Medicare, and Medicare Advantage claims; comfortable in payer portals
  • At least 3 years managing patient A/R and medical collections
  • At least 1 year of hands-on athenahealth experience
  • Excellent attention to detail and follow-up skills
  • Ability to work independently and manage multiple patient accounts
  • Reliable high-speed internet connection and a private, quiet, HIPAA-compliant remote workspace

Preferred Qualifications

  • CPB, CPC, or any industry certification
  • Experience supporting sleep medicine, DME, or telehealth practices
  • Familiarity with Colorado payers and Medicare Advantage plans

Schedule

  • Full-time position
  • Must be available 8:00 AM to 5:00 PM Mountain Time
  • Final schedule will be determined based on practice needs

Work Arrangement

  • Remote, Philippines-based applicants preferred

Hiring Process

  • Practical skills assessment
  • Video interviews with the hiring team and the client
  • Background check prior to onboarding (required for HIPAA compliance)

Pay: Php70,000.00 - Php99,000.00 per month

Benefits:

  • Work from home

Work Location: Remote

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