Winning Assistants
More roles at Winning AssistantsMedical Billing & RCM Specialist
Remote role where the employee must remain based in a particular country.
Philippines only
Employer listed it 2 days ago · Added yesterday
First listed 2 days ago.
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–$165k a year, a typical range taken from 233 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 & RCM Specialist Position Type: Full-Time Work Hours: 8:00 AM–4:30 PM PDT (30-minute unpaid lunch) Work Days: Monday–Friday; occasional weekend work may be required as the business grows Salary: $5–$6/hour, depending on experience Workplace: Remote Preferred Candidate Location: Philippines
About the Role
Our client is a growing U.S.-based healthcare diagnostic practice specializing in respiratory, pulmonary, and sleep-related testing. They are looking for an experienced Medical Billing & RCM Specialist who can take ownership of daily billing operations, resolve claim issues, and help maintain a healthy revenue cycle.
The ideal candidate has strong hands-on experience with U.S. medical billing, claims, denials, unpaid claims, insurance verification, and prior authorizations. This role requires someone detail-oriented, organized, proactive, and comfortable working independently across multiple healthcare systems.
Key Responsibilities
Manage day-to-day medical billing and Revenue Cycle Management (RCM).
Prepare, submit, and track medical claims through payment.
Investigate and resolve claim denials, rejections, and unpaid claims.
Follow up with insurance companies regarding outstanding claims and reimbursement.
Perform insurance eligibility and benefits verification.
Process and track prior authorizations and ensure proper documentation.
Work extensively with Optum , which covers the majority of the practice's patients.
Maintain accurate patient, billing, insurance, referral, and authorization records.
Use Office Ally and other systems, including insurance portals, clearinghouses, Square, spreadsheets, and shared drives.
Maintain clear documentation of billing activities and unresolved issues.
Communicate professionally with insurance representatives, patients, and healthcare offices as needed.
Follow established SOPs and workflows while maintaining HIPAA compliance.
Requirements
U.S. healthcare experience is required.
Medical Billing and RCM experience is required.
Experience handling claims from submission through payment.
Experience resolving denials, rejections, and unpaid claims.
Insurance verification and prior authorization experience is required.
Experience using healthcare billing, EHR, or practice management systems.
Requirements
- ·U.S. healthcare experience is required.
- ·Medical Billing and RCM experience is required.
- ·Experience handling claims from submission through payment.
- ·Experience resolving denials, rejections, and unpaid claims.
- ·Insurance verification and prior authorization experience is required.
Benefits
- ·Process and track prior authorizations and ensure proper documentation.
- ·Work extensively with Optum , which covers the majority of the practice's patients.
- ·Maintain accurate patient, billing, insurance, referral, and authorization records.
- ·Use Office Ally and other systems, including insurance portals, clearinghouses, Square, spreadsheets, and shared drives.
- ·Maintain clear documentation of billing activities and unresolved issues.
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 1d 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 $165k per year · You'll be taken to Winning Assistants's application page. They are recruiting on behalf of a client.