Winning Assistants
Medical Billing & Claims Specialist
Remote role where the employee must remain based in a particular country.
Philippines only
Employer listed it 3 weeks ago · Found 2h ago
Been open since 3 weeks ago, still being checked, but it has been live a while.
Salary
Not stated
Location
Philippines only
Timezone
Not stated
Contract
Full-time
Experience
Mid
Category
Operations
This employer didn't state pay. Jobs like this usually pay around $90k–$160k a year, a typical range taken from 271 mid-level operations roles on Nomaders that do state pay. It's a guide, not an offer.
Remote flexibility
Work from home
This is a remote role, but the employee must be based in Philippines. It is work from home rather than work from anywhere.
What the employer says
- Source listing states candidate location: "Philippines, Remote"
- Job description states: "U.S.-based"
What Nomaders makes of it
- Payroll and tax are likely handled in that country only
The quotes above are the employer's own words; the reading is ours. Always check the original listing and employment terms before working from another country.
About the role
Job Title: Medical Billing & Claims Specialist
Position type: Full-Time
Work hours: 8:00 AM to 5:00 PM Central Daylight Time (final schedule might change)
Work days: Monday to Friday
Salary: $5 - $7 per hour, depending on experience
Workplace: Remote
Our client is a well-established U.S.-based allergy and immunology medical practice seeking an experienced and detail-oriented Medical Billing & Claims Specialist to support its existing in-house billing team.
This role is primarily focused on c laims posting, claims management, denial management, and billing support. You will work with a steady volume of medical claims and help ensure they are processed accurately, efficiently, and in compliance with established billing procedures.
The ideal candidate has at least 2–3 years of hands-on medical billing experience , with strong experience in both claims posting and claims management for medical procedures . You should be comfortable investigating denied claims, handling complex billing scenarios, and following claims through resolution and payment.
Training will be provided for the practice's systems, ModuleMD and RXNT , so candidates with strong medical billing experience using other platforms are also encouraged to apply.
Key Responsibilities
Claims Posting & Management
Post and process medical claims accurately and efficiently
Manage claims related to medical procedures from submission through resolution
Review claims for completeness and accuracy before processing
Maintain accurate posting and billing records
Manage a consistent daily volume of claims while maintaining quality and accuracy
Track claim status and follow up on outstanding claims
Help ensure claims are processed according to established billing and compliance requirements
Denial Management & Follow-Up
Review and work denied or rejected claims
Identify reasons for denials and take appropriate corrective action
Resubmit or follow up on claims as necessary
Work toward successful claim overturns and reimbursement
Requirements
- ·Assist with additional billing-related responsibilities as assigned
- ·Performance Expectations
- ·Performance will be evaluated based on factors such as:
- ·Number of claims accurately processed and posted
- ·Accuracy of claims posting
Benefits
- ·Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
- ·Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
- ·HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
- ·Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
- ·Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
How to apply
- 1Check the flexibility label above, work from home, matches where you plan to live and work.
- 2Tailor your CV to the role at Winning Assistants, mentioning your remote working experience.
- 3Apply directly on the employer's careers page using the button below. Nomaders never handles your application.
Found 2h ago. Last checked today. Always confirm the details on the original posting, salary and location can change after publication.
Listing sourced from Company boards.
Similar roles
Other open operations roles with comparable remote rules.
Free to apply, no account needed.
Typically $90k to $160k per year · You'll be taken to the employer's careers page.