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    • Strong understanding of medical billing workflows, claim submission, and coding fundamentals.
    • We’re looking for candidates based outside of the United States,…
    • View all Alpaca Health jobs - Philippines jobs - Medical Biller jobs in Philippines
    • Salary Search: Medical Billing Specialist (Claim Submission) salaries in Philippines
    • Everyday responsibilities include processing data from medical coders, ensuring claims get processed and paid, verifying insurance coverage, reviewing denied…
    • Submit medical claims accurately and efficiently to insurance payers.
    • You will spend the majority of your day submitting medical claims, following up with…
    • Collect, organize, and verify required documents, including medical reports, receipts, invoices, police reports, and other supporting records.
    • In this role, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.
    • Bachelor’s degree in any medical allied course.
    • New Claims acknowledgment within 24hrs.
    • File and keep organized all claim files.
    • Must be keen on details.
    • Experience: Prior experience in PhilHealth transactions, healthcare administration, or medical billing is often an advantage.
    • This role focuses on optimizing revenue collection through clean claim submission, A/R follow-up, collections, and management of medical accounts, as well as…
    • Technical knowledge of medical claims or relevant experience in the HMO, Third Party Administrator (TPA), or insurance industry is a major advantage.
    • You'll be responsible for managing the entire claims process from initiation to resolution, ensuring accuracy, compliance, and efficiency.
    • Prepares and assembles medical record documentation/charts for physician.
    • Ensures medical record compliance by self-documentation attestation.
    • Familiarity with different types of medical instruments and equipment used in various medical procedures.
    • Equipment Preparation: Prepare and assemble instrument…
    • Experience in medical billing/AR collections.
    • SHS Grad or completed at least 2 years of college.
    • Minimum 12 months experience in Healthcare Account Receivable/…
Medical Billing Specialist (Claim Submission)
Alpaca Health
·
4.4
Philippines
•
Remote
Full-time
Apply now

Job details

Here’s how the job details align with your profile.

Job type

Full-time

Full job description

About Alpaca Health

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.

We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.

This role is remote. We’re looking for candidates based outside of the United States, but able to work United States East Coast time zones.

What You’ll Do

We are looking for a detail-oriented Billing Specialist to own pre-submission billing accuracy and ensure clean claims are submitted correctly the first time. This role focuses on resolving coding issues, identifying EHR and demographic inaccuracies, and preventing downstream denials and rework. Specifically, this role will:

  • Review claims prior to submission to identify coding, demographic, and documentation issues

  • Own pre-submission billing edits and claim scrubbing workflows

  • Resolve coding-related issues including CPT modifiers, diagnosis mismatches, and authorization discrepancies

  • Review EHR data for demographic accuracy, insurance information, rendering provider setup, and payer requirements

  • Identify and correct missing or inaccurate patient, provider, or authorization data before claims submission

  • Coordinate with clinical, intake, credentialing, and operations teams to resolve billing blockers

  • Monitor clearinghouse rejections and ensure timely corrections and resubmissions

  • Maintain accurate billing records and claim documentation

  • Support process improvement initiatives to reduce preventable denials and increase clean claim rates

  • Assist with payer and clearinghouse communication via portal, fax, phone, and email

  • Track recurring claim issues and escalate systemic problems proactively

Who You Are

  • Bachelor’s degree or equivalent experience

  • Excellent attention to detail and organizational skills

  • At least 2–3 years of experience in healthcare billing or revenue cycle operations

  • Strong understanding of medical billing workflows, claim submission, and coding fundamentals

  • Experience working with EHR systems, clearinghouses, and billing platforms

  • Familiarity with commercial and government insurance requirements

  • Strong communication and problem-solving abilities

  • Comfortable working cross-functionally with clinical and operational teams

  • Proficient in MS Office and business systems

  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment

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