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Medical Coding Billing jobs in Manila

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    • Knowledge of medical billing, EOBs, ERA, and payer guidelines specifically BCBS.
    • Document all claim activities accurately within the billing system.
    • View all Uplift Healthcare Solutions jobs - National Capital Region jobs - Accounts Receivable Clerk jobs in National Capital Region
    • Salary Search: Accounts Receivable (AR) Medical Denials Specialist salaries in National Capital Region
    • The ideal candidate is detail-oriented, knowledgeable in inpatient medical coding, and committed to delivering accurate and compliant coding for healthcare…
    • Everyday responsibilities include processing data from medical coders, ensuring claims get processed and paid, verifying insurance coverage, reviewing denied…
    • Jobs in this function provide (outpatient) coding and coding auditing services directly to providers.
    • This includes the analysis and translation of medical and…
  • View similar jobs with this employer
    • Follow up on unpaid claims within the standard billing cycle time frame.
    • Verifying receipt of all patient registration data from the client and notifying the…
    • Identify payment integrity issues such as duplicate billing, coding discrepancies, billing errors, and policy inconsistencies.
    • Research and correct rejected claims and post payments.
    • Resubmissions of claims as required with supporting documentation as needed.
    • Follow up on unpaid claims within the standard billing cycle time frame.
    • Verifying receipt of all patient registration data from the client and notifying the…
    • 1-2 years of medical billing experience required.
    • Medical billing diploma or work experience Lytec or Medisoft experience a plus.
  • View similar jobs with this employer
    • Process medical collections and billing, collaborating with healthcare and insurance providers for proper documentation.
    • Knowledge of EHR and billing software.
    • Do you have prior experience with medical billing accounts receivable (A/R), and if so, for how long?
    • Follow up on unpaid claims within the standard billing…
    • Good knowledge of medical coding and billing systems, regulatory requirements, auditing concepts, and principles.
    • Handle medical billing and insurance support inquiries.
    • At least 1–2 years of experience in medical billing or healthcare support.
    • HMO coverage starting Day 1.
    • Prints and checks Statement of Account for complete charging.
    • Charges daily room rates of all admitted patients.
    • Job Types: Full-time, Permanent.
    • Experience handling coding denials and appeals.
    • Minimum 2-3 years of coding experience.
    • The ideal candidate will be responsible for accurate ICD-10-CM/PCS…

Job Post Details

Accounts Receivable (AR) Medical Denials Specialist - job post

Uplift Healthcare Solutions
National Capital Region•Remote
PHP 45,000 - PHP 50,000 a month

Job details

Pay

  • PHP 45,000 - PHP 50,000 a month

Job type

  • Full-time

Full job description

We are seeking an experienced Accounts Receivable (AR) Denials Specialist to join our growing healthcare team. The ideal candidate will have strong experience in physician claims management, denial resolution, and insurance follow-up. This role is responsible for managing the complete denial lifecycle, ensuring timely resolution of denied claims to maximize reimbursement.

Key Responsibilities
- Manage and work assigned physician insurance claims.
- Review, analyze, and resolve denied medical claims.
- Perform timely follow-up with insurance payers regarding claim denials and underpayments.
- Investigate denial root causes and take appropriate corrective actions.
- Submit reconsiderations, corrected claims, and appeals when necessary.
- Manage the denial turnaround process to ensure prompt claim resolution.
- Document all claim activities accurately within the billing system.
- Monitor claim status until final payment or resolution.
- Work the complete denial lifecycle from initial follow-up through final resolution.
- Collaborate with internal teams to identify trends and recommend process improvements that reduce future denials.
- Meet daily productivity and quality expectations while maintaining compliance with payer guidelines.
- Review BCBS E&M coding-related claims and identify issues requiring dispute or appeal.

Qualifications
- Experience in using Availity and EPIC
- Minimum of 2 years of recent U.S. healthcare Accounts Receivable (AR) experience.
- Strong background in physician claims and denial management.
- Experience handling commercial and government insurance payers.
- Thorough understanding of the denial lifecycle, appeals, and insurance follow-up.
- Knowledge of medical billing, EOBs, ERA, and payer guidelines specifically BCBS
- Excellent analytical, problem-solving, and communication skills.
- Ability to work independently in a fast-paced environment while meeting productivity goals.

Pay: Php45,000.00 - Php50,000.00 per month

Application Question(s):

  • Do you have experience using Availity?
  • Do you have experience using EPIC?

Experience:

  • U.S. healthcare Accounts Receivable (AR): 2 years (Required)

Work Location: Remote

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