Join the ISTA Solutions Team as a Medical Billing Specialist!We are a premier outsourcing and offshoring company seeking an experienced Medical Billing Specialist to enhance our rapidly growing team. Here at ISTA Solutions, we prioritize employee satisfaction and maintain a healthy work-life balance. We take pride in fostering a culture that emphasizes long-term success and continuous learning. If you are a collaborative team player eager to contribute to our mission, we want to hear from you!Key Responsibilities:Promptly review and process online insurance inquiries.Verify patient insurance benefits and eligibility through payer portals.Document eligibility details accurately from insurance sources.Communicate with insurance providers to ensure coverage accuracy.Acquire proof of eligibility and confirmation numbers.Update internal systems with verified information to maintain accuracy.Adhere to compliance standards with company policies and insurance regulations.

Join our team as a Medical Billing & Appeals Specialist where you will play a vital role in the submission of appeals for denied claims and assist in the daily billing operations of our organization. This position is perfect for individuals with a basic understanding of billing practices who are enthusiastic about expanding their skills.Key Responsibilities:Prepare and submit appeals for denied medical claims effectively.Analyze Explanation of Benefits (EOBs) and error codes to interpret claim denials.Assist in the accurate application of CPT and ICD codes under supervision.Support claims processing for workers’ compensation carriers.Contribute to various billing and administrative tasks as needed.Requirements:Fundamental knowledge of medical billing and appeals protocols.Familiarity with CPT and ICD coding systems.Ability to review and interpret EOBs and denial/error codes.Excellent written communication and typing capabilities.Meticulous attention to detail with a strong desire to learn and improve.Preferred Qualifications:Experience in Pain Management or Imaging specialties.Previous involvement in medical billing or revenue cycle positions.Minimum Technical and Work Environment Requirements:Internet Connectivity:Primary internet connection with a minimum speed of 15 Mbps.Backup internet connection with a minimum speed of 10 Mbps to ensure productivity during outages.Primary Device:Desktop or laptop must have:Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor.A minimum of 8 GB RAM.Backup Device:Must perform at or above the level of an Intel Core i3 processor.Must remain usable during power interruptions.A functioning webcam.A noise-canceling USB headset.A quiet, dedicated home office space.Peripherals and Workspace: A smartphone for communication and verification.Benefits:Join a vibrant team culture that values your contributions and fosters professional growth.Access daily learning and innovative opportunities to make a significant impact.Explore endless career advancement possibilities and resources.Engage in a fast-paced work environment with thrilling challenges.

Role overview ista-2 seeks a Medical Billing Specialist based in Mandaluyong City, Metro Manila. This role centers on processing billing for US healthcare insurance claims. Strong attention to detail and adherence to industry standards are important for success in this position. What you will do Handle billing activities for US healthcare insurance claims Maintain accuracy across all billing documentation Comply with industry standards and regulatory requirements Requirements Careful, detail-oriented work style Interest in healthcare and insurance processes Compensation Competitive salary $21,000 signing bonus

Job Title: Medical Billing Denials & Appeals Specialist Schedule: Full-Time | Monday to Friday | 9:00 AM – 5:00 PMJob OverviewJoin our dynamic team as a Medical Billing Denials & Appeals Specialist. This remote role is essential for reviewing denied claims, engaging with insurance companies, and ensuring prompt follow-ups that maximize reimbursement outcomes. The ideal candidate will exhibit exceptional organizational skills, quick learning ability, and confidence in navigating medical billing systems while maintaining a professional rapport with insurers and internal teams.This is a truly remote position, welcoming applicants from all over the globe as long as they meet the necessary qualifications.Key ResponsibilitiesExamine and assess denied or rejected medical claims to identify underlying issues.Engage with insurance companies via telephone to follow up on denied claims and gather claim status updates.Compile and submit appeals with precise documentation and supporting evidence.Collaborate with clients or internal teams to collect essential patient or claim information.Maintain accurate billing system updates and thorough documentation of all follow-up actions.Adhere to insurance guidelines and medical billing regulations to ensure compliance.Work diligently to minimize claim aging and enhance reimbursement turnaround times.RequirementsExtensive experience in medical billing denials and appeals.Demonstrated ability to communicate clearly and professionally in fluent English (both verbal and written).Comfortable with making frequent outbound calls to insurance providers.A quick learner with the capacity to swiftly understand workflows and navigate billing systems.Detail-oriented, analytical, and exceptionally organized.Dependable, trustworthy, and able to work autonomously in a remote setting.Experience with medical billing or practice management systems is highly advantageous.

Join Global Pacific Support, a compassionate provider of evidence-based Applied Behavior Analysis (ABA) Therapy services for children with autism. We are currently seeking a dedicated Credentialing Specialist to support our team at Ready Set And Go ABA.The ideal candidate will possess a strong background in credentialing behavior analysts and therapists with U.S. insurance payers, ensuring that our professionals are equipped to deliver the highest quality care.Key Responsibilities:Facilitate the processing of provider credentialing applications.Manage and update CAQH provider profiles.Credential providers with major insurance networks, including:AetnaCignaUnitedHealthcareBlue Cross Blue ShieldTricareMaintain accurate credentialing documentation and licenses.Monitor credentialing statuses and payer approvals.Engage with insurance companies to follow up on applications.Ensure adherence to payer and regulatory requirements.

Join our innovative team at Remote VA as a Remote Medical Billing Specialist. In this exciting role, you'll be tasked with managing and processing medical claims while ensuring timely and precise billing for both insurance companies and patients. The ideal candidate will exhibit exceptional organizational skills, have strong communication abilities, and demonstrate a comprehensive understanding of medical billing protocols.Key Responsibilities:Accurately prepare and submit medical claims to a variety of insurance providers.Review and verify claims to ensure all information is complete and correct.Follow up on outstanding claims and promptly resolve any billing issues.Communicate effectively with healthcare providers and insurance companies to address queries and discrepancies.Post payments, manage adjustments, and reconcile accounts as needed.Stay informed about current billing regulations, insurance policies, and compliance standards.Generate and provide reports on claims submissions, payments, and denials.

Join our dynamic team at remote-va, where we are on the lookout for a meticulous Medical Biller and Cash Poster with a robust background in Applied Behavior Analysis (ABA). This pivotal role ensures that our therapy providers receive accurate and timely reimbursements, allowing them to concentrate on empowering our clients to flourish.The ideal candidate will possess a comprehensive understanding of ABA billing intricacies, including the management of authorization tracking, familiarity with CPT codes such as 97153 and 97155, and the complexities associated with a variety of insurance payers.Key ResponsibilitiesClaims Management: Efficiently submit clean electronic and paper claims to insurance carriers.Cash Posting: Accurately post a high volume of payments (ERAs and EOBs) to patient accounts.ABA Specialization: Oversee authorizations and ensure billing practices are compliant with relevant ABA CPT codes and modifiers.Denial Management: Investigate and appeal denied claims while identifying and resolving billing discrepancies.Reporting: Reconcile daily deposits and deliver weekly accounts receivable (AR) status reports.Communication: Collaborate with clinical staff to provide updates on authorizations and follow up with payers regarding outstanding balances.

Join ISTA Solutions, a leading outsourcing and offshoring company, as an Experienced Medical Billing Specialist. Our rapidly growing team values employee satisfaction and promotes a healthy work-life balance. At ISTA Solutions, we are dedicated to fostering a culture of long-term success and continuous learning. If you're a collaborative team player eager to make a meaningful impact, we want to hear from you!Key Responsibilities: Conduct eligibility and benefits verification for various medical treatments, hospital stays, and procedures. Review patient bills for accuracy, completeness, and follow-up on any missing information. Manage unpaid claims within the designated billing cycle. Communicate with insurance companies to resolve payment discrepancies as required. Identify and bill secondary or tertiary insurance providers. Job Duties: Deliver exceptional customer support via phone, email, and chat. Address customer inquiries and resolve issues to enhance satisfaction. Collaborate with team members and other departments to tackle complex challenges. Keep precise records of customer interactions, transactions, and feedback. Qualifications: 6 months to 1 year of experience in a BPO environment, specifically within a US Healthcare account. Solid understanding of medical claims, benefits, eligibility, and appeals processes. Familiarity with US Healthcare Insurance systems, including Medicare and Medicaid. Excellent English communication skills, both verbal and written. Demonstrated empathy and patience when addressing customer concerns. Strong analytical and problem-solving abilities. Ability to adapt to a dynamic work environment. Composure under pressure. Proficient in navigating computer systems and relevant software. Willingness to work onsite in Makati or Mandaluyong. Able to work night shifts. Benefits:What We Offer: Competitive salary and benefits package. Health Insurance with coverage for dependents. 10% night differential pay. Attendance bonuses. Paid time off and convertible leave credits. Regular performance appraisals. A strong emphasis on work-life balance. Opportunities for career growth and skills development. Our Commitment: A culture of values-driven leadership. We provide opportunities for professional development and personal fulfillment.

Job Opportunity: Healthcare Billing SpecialistPosition Code: GJ-MHSEmployment Type: Full-Time (40 hours a week)Working Hours: 9:00 AM – 5:00 PM Pacific Daylight TimeWork Schedule: Monday to FridayCompensation: Starting at $5 - $7 per hour, based on experienceOur client is a reputable U.S.-based healthcare billing and management firm dedicated to delivering thorough medical billing, revenue cycle management, and administrative assistance to healthcare providers. Their goal is to enhance operational efficiency, maximize reimbursements, and provide outstanding patient service.Role OverviewWe are in search of a meticulous Healthcare Billing Specialist with substantial expertise in medical billing and revenue cycle management, especially within home health agencies. This position requires a professional capable of overseeing the entire billing workflow while assisting with administrative and patient-related tasks.Familiarity with ALORA software, home health billing processes, and the review of Notices of Admission (NOAs) is strongly preferred.Key ResponsibilitiesBilling & Revenue Cycle Management (Primary Focus)Oversee complete medical billing processes, including claim submissions, follow-ups, denials, and appealsAssess and manage NOAs (Notices of Admission) for accuracy and complianceConduct home health agency billing, ensuring compliance with payer regulationsUtilize ALORA software for billing, documentation, and tracking purposesConfirm insurance eligibility and benefitsEnsure claims are precise, complete, and compliant prior to submissionAim to meet a daily KPI of 45 claim follow-upsUpload, monitor, and organize Explanation of Benefits (EOBs)Administrative & Executive SupportPrepare and uphold reports, spreadsheets, and documentationAssist with administrative tasks and operational overflowProvide executive support to facilitate seamless daily operationsPatient & Reception SupportManage calls utilizing the Nextiva VoIP systemRespond to patient inquiries in a professional and timely mannerOffer receptionist-level support as neededTools & PlatformsPreferred experience with:Billing/EHR Systems: ALORA (highly preferred), eClinicalWorks (ECW), AdvancedMD, DrChrono, WebPT, Fair Bill, Elation, TheraBillCommunication Tools: Nextiva VoIPEssential Skills & QualificationsDemonstrated experience in medical billing and revenue cycle managementHands-on experience with home health billing and NOA reviewFamiliarity with ALORA software is a significant advantageExcellent attention to detail and strong organizational skillsExceptional communication and interpersonal abilities

Join our dynamic team at berryvirtual as a Dental Billing Specialist, where you will play an essential role in the seamless management of the billing cycle. Your expertise in Revenue Cycle Management (RCM) and Accounts Receivable (A/R) will be crucial in ensuring the efficiency of our billing operations. You will handle claims processing, investigate denials, and perform comprehensive billing tasks all aimed at maximizing revenue for dental healthcare practices.Key Responsibilities: Comprehensive Revenue Cycle Management (RCM): Manage the entire billing cycle, from claims submission to final reimbursement, ensuring accuracy and efficiency at each stage. Accounts Receivable (A/R) Management: Monitor unpaid bills, conduct follow-ups on outstanding claims, and resolve collection challenges to enhance revenue. Claims Denial Investigation: Thoroughly investigate denied claims, pinpoint errors, and make necessary corrections before resubmission. Claims Resubmission: Oversee backend processes related to claim corrections and resubmissions to prevent delays in reimbursements. Document Compliance: Ensure all billing activities adhere to regulatory standards, including HIPAA compliance. Qualifications: Demonstrable experience in medical billing within the dental sector. Familiarity with claim denial management and collections practices. Excellent English communication skills, both written and verbal. Proficient in dental billing software (e.g., Eaglesoft, Dentrix, Denticon). Strong customer service orientation and critical thinking abilities. Knowledge of HIPAA regulations and commitment to patient data confidentiality. Exceptional problem-solving capabilities and ability to work independently. Willingness to accommodate US time zones (PST, EST, CST). High school diploma or equivalent is required. System and Work Setup Requirements: Internet: Minimum bandwidth of 25 Mbps with a reliable backup connection. Processor: Intel Core i5 7th Generation or higher (or equivalent). Memory: 8 GB RAM. Storage: 256 GB SSD or HDD with at least 50% free space. Webcam: 720p resolution or higher. Operating System: Windows 10 or later (or equivalent). Audio Equipment: Noise-canceling headphones or headset. Workspace: A dedicated, quiet, and organized workspace to ensure productivity. Benefits: Permanent remote work opportunities. Health Insurance coverage. 401k retirement plan options.

Join our dedicated team at assist-world, an outpatient mental health clinic committed to providing comprehensive medication management services for individuals facing depression, anxiety, and various psychiatric disorders. We are on the lookout for a skilled Medical Billing & Revenue Cycle Specialist who will take charge of claims management, denial follow-ups, invoicing, reconciliation, and minimizing Accounts Receivable (A/R). This pivotal role ensures the financial stability and operational effectiveness of our practice.This position is intended for experienced professionals; we seek a proactive, analytical, and results-oriented individual who anticipates needs and completes tasks independently.Role Overview:● Medical billing● Claims submission & denial management● A/R reduction● Patient billing support● Revenue cycle optimizationOccasional administrative support will be required, including prior authorizations and call handling.The ideal candidate possesses the following traits:● Detail-oriented● Highly accountable● Solutions-focused● Comfortable with open communication● Results-driven, not sales-drivenCore Responsibilities:Medical Billing & Claims Management:● Accurately and promptly submit insurance claims● Follow up on claim denials and rejections● Resolve billing discrepancies● Track and reduce A/R balances● Reconcile payments with patient invoices● Monitor billing trends and identify patternsRevenue Cycle & Data Analysis:● Analyze billing data to uncover inefficiencies● Review claims performance metrics● Propose process enhancements● Maintain precise billing reports● Ensure adherence to payer requirementsPatient Billing Support:● Manage patient inquiries regarding eligibility and billing● Follow up on delayed or outstanding invoices● Communicate effectively with patients● Address billing issues professionally● Escalate complex matters as neededAdministrative Crossover Support:● Aid with prior authorizations● Assist with inbound call handling during staff shortages● Ensure organized documentationRequired Systems Experience:● Healthy (EHR)● ClaimMD (Clearinghouse)Experience with similar EHR and clearinghouse systems is acceptable. The candidate must be quick to adapt to new systems (cross-training will be provided).Required Qualifications:● 1-2+ years of medical billing experience (healthcare required)● Strong analytical skills● Excellent communication abilities

We are seeking a detail-oriented and proactive Medical Billing Manager to join our dynamic team at Anngrogan Associates Inc. In this role, you will oversee the medical billing department, ensuring accurate and timely processing of billing statements, insurance claims, and patient accounts. You will be responsible for maintaining compliance with healthcare regulations and overseeing staff training.

As a Medical Billing Specialist, you will play an essential role in overseeing the entire billing cycle, encompassing Revenue Cycle Management (RCM) and Accounts Receivable (A/R) functions. Your expertise will be vital in ensuring seamless billing operations through claims processing, denial investigations, and comprehensive billing tasks aimed at maximizing revenue for healthcare providers.Key Responsibilities:Manage Complete Revenue Cycle: Oversee every phase of the billing cycle from claim submission to final payment, ensuring accuracy and efficiency at all stages.Accounts Receivable Oversight: Monitor and manage outstanding bills, proactively following up on claims and resolving collection matters to enhance revenue flow.Claims Denial Analysis: Investigate denied claims, pinpointing errors or necessary adjustments and resubmitting claims with the correct modifications.Claims Management: Handle backend operations related to claim resubmission, confirming accuracy and making necessary corrections to avoid reimbursement delays.Documentation Compliance: Ensure all billing practices adhere to regulatory standards and compliance requirements, including HIPAA regulations.Qualifications:Demonstrated experience in medical billing with a solid understanding of RCM and A/R processes.Familiarity with claim denial management and collections strategies.Excellent command of the English language, both written and verbal.Proficiency in remote office tools, EHR systems, and various communication platforms.Strong customer service orientation and analytical thinking skills.Knowledge of HIPAA regulations and the importance of safeguarding patient information.Exceptional problem-solving abilities with a capacity to work independently.Willingness to work during US time zones (PST, EST, CST).High school diploma or equivalent required.System and Work Setup Requirements:Internet: Minimum speed of 25 Mbps or higher, with a reliable backup connection available for outages.Processor: Intel Core i5 7th Generation or equivalent.Memory: 8 GB RAM.Storage: 256 GB SSD or HDD with at least 50% free space.Webcam: Minimum 720p resolution.Operating System: Windows 10 or later (or equivalent).Audio Equipment: Noise-canceling headset or earphones.Workspace: A quiet, organized workspace free from distractions to ensure productivity.Benefits:Permanent remote work opportunity.

Job Title: Social Media Manager (Medical/ABA Sector)Remote VA PH is seeking a talented Social Media Manager with deep knowledge of the healthcare sector to effectively manage, enhance, and expand our social media footprint.Schedule: 9 AM - 5 PM EST (Monday - Friday)Key ResponsibilitiesFormulate and implement social media strategies that align with healthcare marketing objectives.Create, schedule, and distribute captivating content across various platforms including Facebook, Instagram, LinkedIn, TikTok, and X.Oversee content calendars and ensure timely execution of campaign timelines.Engage with the audience by monitoring interactions, responding to comments and messages professionally.Collaborate with marketing, clinical, and compliance departments for content approvals.Analyze performance metrics and generate monthly reports.Keep abreast of healthcare trends, social media platform updates, and compliance requirements.

Winning Assistants seeks a full-time Insurance Claim Estimator and Billing Assistant to join its remote team in the Philippines. This position supports both estimating and billing functions, focusing on preparing estimates for insurance claims that have been denied or underpaid. The role also involves gathering supplemental documentation and ensuring billing tasks are completed accurately and on time. Schedule and Location Monday to Friday, 8:00 AM – 5:00 PM EDT Remote work based in the Philippines Full-time position Salary: To be determined Job Code: KD-ICE Key Responsibilities Prepare supplemental documentation for insurance claims that are underpaid or denied. Review and organize claim files, including documents, photos, adjuster notes, and scopes. Draft invoices and submit final billing to insurance companies or homeowners. Track the progress of estimates and invoices, following up on missing information when necessary. Maintain updated records in the CRM and shared file systems.

Rentokil InitialRentokil Initial is a global leader in business services, employing over 64,800 dedicated professionals across 90 countries. Our mission is to protect people and enhance lives, emphasizing pest control and hygiene improvement. With a commitment to excellence, we invest heavily in training, scientific research, innovation, and cutting-edge technology. Our culture is built on listening to feedback and acting on it to support our colleagues and customers. At Rentokil Initial, we uphold the principles of equality and fairness as fundamental rights for all employees, and we embody our core values of Service, Relationships, and Teamwork, as identified by our global workforce.AwardsRentokil Initial Philippines has been recognized as one of the top three most engaged workplaces in the Philippines, according to the Korn Ferry Employee Engagement Awards 2018.We also proudly received the Philippine Best Employer Brand Awards 2019.Explore more about us at careers.rentokil-initial.com

Sangoma Technologies, a premier provider of business communication solutions, is seeking a meticulous and detail-oriented Billing Specialist to become an integral part of our finance team. With over 40 years in the industry, we pride ourselves on our innovative UCaaS solutions and our commitment to delivering exceptional customer satisfaction through precise billing practices. In this role, you will be tasked with ensuring timely and accurate invoicing, effectively managing billing inquiries, and providing support to our clients regarding their billing needs. If you excel in numerical accuracy and have a passion for outstanding customer service, we invite you to apply!Your Role:Generate and dispatch precise customer invoices promptly, adhering to company guidelines.Oversee billing modifications, credit notes, and account reconciliations as required.Examine accounts for inconsistencies and swiftly address issues to ensure client satisfaction.Manage customer billing queries and offer detailed explanations of charges and billing procedures.Maintain organized records of billing transactions and prepare regular reports for management.Collaborate with sales and customer service teams to collect necessary information for billing accuracy.Contribute to the enhancement of billing processes to improve efficiency and precision.

Join FGC+ as an Operations Manager in Medical Billing, where you will play a pivotal role in advancing both our company's and our clients' success. As a leader with extensive experience in operations management, particularly in the BPO sector, you will oversee a dedicated team of Medical Billing and Claim Specialists, ensuring stellar service delivery while promoting a productive and compliant work environment.Your responsibilities will include managing client relationships, meeting operational and quality expectations, and continuously seeking improvement opportunities. Your leadership will inspire your team to thrive, balancing business needs with exceptional customer service to create a collaborative atmosphere at FGC+.

We are looking for a meticulous and driven Senior Accountant - Billing Specialist to take charge of our comprehensive customer billing processes. This pivotal role is essential for ensuring precise invoicing, prompt collections, and effective collaboration with our Sales, Customer Success, and Finance teams. The perfect candidate will possess a robust background in billing and accounts receivable, thrive in a dynamic environment, and excel in maintaining clear communication with both internal teams and customers.This position offers a permanent work-from-home arrangement, aligned with U.S. business hours.Key Responsibilities: Manage the entire customer billing cycle, which includes invoice generation, validation, and submission via customer portals. Address customer billing inquiries and resolve disputes quickly and professionally. Oversee accounts receivable (AR) aging and lead proactive collection efforts to ensure a healthy cash flow. Work closely with Sales and Customer Success teams to tackle billing and collections issues. Conduct monthly billing cycles, managing both subscription and usage-based invoicing. Perform weekly AR aging reviews and follow up on overdue invoices as necessary. Compile monthly billing and collections metrics for internal reporting and assist with month-end closing processes related to AR and bad debt. Independently execute scheduled and ad hoc billing runs, including invoices for new contracts. Engage directly with customers to manage overdue accounts and clarify invoice queries. Requirements: Demonstrated experience in billing and accounts receivable; prior experience in a SaaS or recurring revenue business model is highly preferred. Proficient in billing tools such as NetSuite (SuiteBilling and ARM), Salesforce, Celigo, and Excel; while NetSuite experience is advantageous, quick learners with a strong billing systems background are also encouraged to apply. Exceptional attention to detail with outstanding organizational and time management capabilities. Ability to manage sensitive customer communications with professionalism and assurance. Strong analytical abilities with proficiency in preparing clear and accurate billing reports. Capability to work autonomously while effectively collaborating with cross-functional teams.