Medical Billing Specialist

Medical Billing Specialist

Medical Billing Specialist Akwaaba Care Remote, Quezon, Quezon, Philippines

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Non-Negotiable

Location

About the Company

1840 & Company is a global organization focused on delivering innovative business solutions that help companies grow, scale, and succeed. Operating in over 150 countries, we support organizations through a range of workforce, operational, and business services designed to drive efficiency and long-term success

About the Job

We are seeking a detail-oriented, proactive PART TIME billing professional who can hit the ground running, navigate payer nuances, and help us strengthen our revenue cycle as we continue to grow. Qualification Required: • Minimum 2 years of medical billing experience, preferably in primary care or a small practice setting • Solid understanding of Medicare and Medicaid (including MassHealth) billing rules and workflows • Experience with commercial payer claim submission and follow-up • Ability to work independently with minimal supervision • Strong attention to detail, especially in claim review and follow-up documentation • Reliable internet connection and a secure, professional remote work environment Preferred: • Experience with Elation Health Billing (or willingness to learn quickly — training provided) • Prior experience working in a post-EHR-migration environment • Familiarity with CMS-1500 / electronic claim formats • Working knowledge of CPT, ICD-10, and modifier usage in primary care • Experience with ERA/EOB reconciliation and denial management Nice to Have: • CPC, CBCS, or equivalent billing/coding certification • Experience supporting a patient panel of 1,500+ patients

Job Overview

• Employment Type: Part-Time Contractor
• Department: Finance And Accounting
• Job Level: Intermediate

Education & Experience

• Years Of Experience: 2 Years
• Business Model:
• Minimum Education Level: Bachelors
• Qualification: None

Skills

• Tools/Platforms: Budgeting & Forecasting Tools QuickBooks
• Additional Skills: None
• Common Methodologies/Frameworks: Budgeting And Forecasting Models Accounting Process Improvement
• Additional Skills: None
• General Skills:
• Additional Skills: None
• Soft Skills: Problem Solving Attention To Detail Accuracy
• Additional Skills: None

Requirements

• Technological Requirements:
• Language: English
• Location: Philippines

Responsibilities

Claims Management:

• Build and submit clean claims through Elation Billing
• Review and resolve claim edits and work queue items prior to submission
• Ensure accurate coding and charge capture aligned with payer requirements

Insurance Follow-Up & Denials:

• Conduct proactive follow-up on unpaid and denied claims across Medicare, MassHealth, and

commercial payers

• Identify denial patterns and escalate or appeal as appropriate
• Document all payer communications with thorough notes

Accounts Receivable:

• Work the aging A/R report, prioritizing claims by payer and dollar value
• Assist in resolving legacy athenaOne A/R backlog
• Flag accounts approaching timely filing limits

Eligibility & Payment Posting:

• Verify patient eligibility and benefits as needed prior to and at time of service
• Assist with posting payments, adjustments, and patient balances
• Reconcile ERA/EOBs and ensure accurate allocation

Documentation & Reporting:

• Maintain clear, organized records of all billing activity within Elation and any supplemental trackers
• Provide regular status updates on claim submissions, denials, and A/R progress

Working Hours

Flexible working hours