Subject Matter Expert Billing Specialist - Work From Home

Job Description

ClinicMind’s core values—Excellence

• Learning
• Teamwork guide everything we build. With 150 in‑house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best‑in‑class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base.
  
  

Overview

We are seeking a Level 3 Billing Support / Billing Review Subject Matter Expert (SME) to join our team. This role serves as the final point of escalation for complex billing concerns and systemic claim issues. The SME team ensures accuracy in claim processing, resolves systemic billing setup problems, and provides expert support to billing staff, providers, and retention teams. Experience with ClinicMind/Vericle software is required.

Key Responsibilities

• Handle high-level billing escalations and serve as a subject matter expert for complex claim issues.
• Review claims to identify errors caused by system setup or process gaps.
• Collaborate with SYSADMIN to correct systemic configuration issues and validate updates.
• Provide data and guidance on affected claims to billing teams and providers for manual resolution.
• Support provider and retention teams by explaining billing outcomes and corrective actions clearly.
• Document recurring issues and recommend workflow or system improvements.
• Mentor Level 1 and Level 2 billing support staff, sharing expertise and best practices.
• Lead or participate in small projects related to billing reviews, system changes, and process enhancements.
  
  

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Finance, or equivalent work experience.
• 4-6 years of experience in medical billing, claim review, or revenue cycle management.
• Mandatory: Hands-on experience with ClinicMind/Vericle software.
• Strong knowledge of billing workflows, claim adjudication, and payer requirements.
• Excellent communication skills to interact with providers, billing teams, and technical staff.
• Strong analytical and problem-solving abilities with attention to detail.
• Basic project management experience (managing timelines, priorities, and stakeholder coordination).
  
  

Preferred Skills

• Prior experience collaborating with system administrators on billing setups.
• Knowledge of compliance standards and payer regulations.
• Ability to train or mentor junior staff.
  
  

Must Have

• High comfort level working on Eastern Time Zone/US Shift
• Good internet access at home
• Mobile Hotspot
• Laptop/Desktop with at least 16 GB
  
  

Job Details

Role Level: Mid-Level Work Type: Full-Time Country: Philippines City: Manila National Capital Region Company Website: https://linktr.ee/clinicmind2 Job Function: Finance Company Industry/

Sector: Software Development Data Infrastructure And Analytics And Technology Information And Media

What We Offer

About The Company

Searching, interviewing and hiring are all part of the professional life. The TALENTMATE Portal idea is to fill and help professionals doing one of them by bringing together the requisites under One Roof. Whether you're hunting for your Next Job Opportunity or Looking for Potential Employers, we're here to lend you a Helping Hand.

Report

Disclaimer: talentmate.com is only a platform to bring jobseekers & employers together. Applicants are advised to research the bonafides of the prospective employer independently. We do NOT endorse any requests for money payments and strictly advice against sharing personal or bank related information. We also recommend you visit Security Advice for more information. If you suspect any fraud or malpractice, email us at [email protected].