[Hiring] Medical Biller @StaffRight

Role Description

We’re looking for a detail-oriented Medical Biller to support healthcare providers—preferably in infusion services—with end-to-end, consumer-side billing tasks. This role emphasizes eligibility and benefits verification, prior authorizations, appeals, and patient financial assistance, in addition to standard billing and AR workflows.

If you have strong attention to detail, great communication skills, and experience working directly with provider-side billing operations, this role might be a great fit for you.

What You’ll Be Doing:

• Collect and manage patient demographics, insurance details, and registration information
• Verify insurance eligibility and benefits prior to services, including deductibles, co-insurance, and coverage limits
• Initiate, track, and follow up on prior authorizations, particularly for infusion and specialty treatments
• Translate diagnoses and procedures into standardized codes (ICD-10, CPT, HCPCS) and enter charges into the system
• Create, submit, and manage insurance claims (electronic or paper), ensuring accuracy to minimize rejections and denials
• Post payments from insurance and patients, reconcile accounts, and track outstanding balances
• Follow up on unpaid or denied claims, including preparing and submitting appeals and corrected claims with supporting documentation
• Bill patients for unpaid balances, explain financial responsibility, and manage payment plans or collections when needed
• Enroll patients in and manage co-pay assistance programs, apply assistance funds, and track usage and balances
• Coordinate with providers, infusion centers, specialty pharmacies, and payers to resolve billing, authorization, and reimbursement issues

Qualifications

• Excellent written and verbal English communication skills
• Experience in medical billing for provider-side or consumer-side operations (insurance-side experiences are still welcome)
• Infusion billing experience strongly preferred
• Experience with eligibility verification, benefits checking, and prior authorizations
• Experience handling appeals and denials management
• Familiarity with ICD-10, CPT, and HCPCS codes
• Experience using medical billing or EHR/EMR software
• Available to work in US time zones (Graveyard shift in the Philippines)
• Available to start within 2 weeks from job offer

Requirements

• Comfortable in using time-trackers (e.g. Time Doctor)
• Own laptop/desktop, noise-cancelling headphones, and webcam
• Reliable internet connection (at least 50 Mbps)
• Available backup equipment in cases of power and internet outages
• Proficiency with Microsoft Office tools and Google Workspace

Benefits

• 💰 Competitive Compensation: Monthly salary starting at PHP 45,000 - 60,000, with flexibility for higher compensation based on experience and qualifications.
• 🏥 Comprehensive Health Coverage: Access to high-quality medical insurance for you and your loved ones.
• ✈️ Paid Time Off and Sick Leave: Generous paid time off and sick leave policies for work-life balance.
• 🎉 Service Recognition and Rewards: Celebrate milestones with our Elite VA program, honoring your commitment and achievements.