Senior Medical Billing Specialist | WFH (#554)

What are you waiting for? Join us and apply now using the link below:

https://recruitment.connextglobal.com/intake-form?jobid=961&source=9&type=Job%20Boards

Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Senior Medical Billing Specialist to support our client based in the US.

What's in it for you?

There's a lot to love about Connext. Here are some of the reasons why:

• Competitive salary and bonuses
• 25% Night Differential Pay
• 20 Annual Leave Credits
• Health, dental, and life insurance
• Fun HR virtual and onsite events
• Professional development and training opportunities
• Employee assistance programs (EAP)
• Employee volunteer and community service opportunities
• Amenities for leisure and recreation
• Certified Great Place to Work (2022)

What is the job?

The Senior Medical Billing Specialist will support the authorization, referral, and payment processes while aligning with the company’s mission, vision, and core values. This role ensures seamless insurance experiences, timely patient care, and efficient financial workflows. Collaborating with internal teams, insurance providers, and patients, the specialist manages authorizations, payments, and denials in compliance with healthcare regulations, maintaining strict confidentiality throughout.

• Coordinate with insurance companies to secure authorizations for medical services, procedures, and medications.
• Confirm coverage, benefits, and any special requirements (e.g., documentation of medical necessity) for timely care delivery.
• Update patient files in the clinic’s electronic health record (EHR) system with authorization status, eligibility details, and payer interactions.
• Collect necessary documentation from providers and respond to inquiries regarding insurance and authorization requirements.
• Track denied claims, initiate appeals, and follow through to resolution to minimize disruptions in patient care and financial losses.
• Provide timely updates on insurance approvals or denials, clarifying financial obligations when necessary.
• Ensure all processes align with HIPAA, healthcare regulations, and internal policies.
• Monitor timelines to avoid delays and prioritize urgent cases efficiently.
• Accurately enter and track financial activities in relevant systems according to departmental policies.
• Organize and maintain efficient workflows for timely follow-up on all client account tasks.
• Work closely with internal departments to resolve payment discrepancies and improve financial operations.
• Maintain exceptional service levels when interacting with patients, clinical staff, and third-party payers.
• Attend virtual meetings and complete required training to stay updated on processes and regulations.
  
  What you bring to the job?
• At least one (1) to two (2) years of experience in healthcare, insurance, medical billing, or related fields.
• Must have a stable employment history.
• Direct experience in managing authorizations and referrals is preferred.
• Understanding of HIPAA and patient confidentiality standards.
• Experience handling patient or client inquiries professionally, ideally in a healthcare setting.
• General knowledge of Microsoft Excel, Word, and email platforms (e.g., Outlook, Gmail).
• Ability to manage multiple tasks, track deadlines, and prioritize work in a remote environment.
• Demonstrates initiative and drive to achieve goals without constant supervision.
• Maintains a systematic approach to managing tasks and responsibilities efficiently.
• Strong time management skills to execute tasks effectively to meet deadlines and maintain workflow.
• Ability to analyze challenges and develops practical solutions in a timely manner.
• Willing to learn and integrate new technologies and procedures as needed.
  
  What are you waiting for? Join us and apply now using the link below:

https://recruitment.connextglobal.com/intake-form?jobid=961&source=9&type=Job%20Boards

#Connext #ConnextGlobalSolutions #Healthcare #HealthcareSupport #ConnextTheBest

Job Type: Full-time, Permanent

Job Types: Full-time, Permanent

Pay: Php32,000.00 - Php38,000.00 per month

Benefits:

Company Christmas gift
Company events
Health insurance
Life insurance
Opportunities for promotion
Pay raise
Promotion to permanent employee

Schedule:

8 hour shift
Day shift
Holidays
Overtime
Weekends

Supplemental Pay:

13th month salary
Overtime pay
Performance bonus
Experience:

Medical Billing: 1 year (Required)
Insurance Verification: 1 year (Required)

#Connext #ConnextGlobalSolutions #MedicalClaims #Healthcare #HealthcareSupport #ConnextTheBest