Medical Billing and Claims Specialist

Job Title: Medical Billing and Claims Specialist

Position type: Part-Time

Work hours: 9:00 AM to 1:00 PM Eastern Daylight Time

Work days: Monday to Friday

Salary: $5 - $6 per hour, depending on experience

Job code: NF-HS

Workplace: Remote

Preferred Candidate Location: Philippines

Our client is seeking a detail-oriented and proactive Medical Billing and Claims Specialist to support billing operations, insurance follow-ups, and administrative workflows for a growing healthcare practice. This role is ideal for someone with strong medical billing experience who is comfortable working independently and managing multiple responsibilities in a remote environment.

The Medical Billing and Claims Specialist will be responsible for handling claims processing, payment posting, insurance verification, and follow-ups on denials, underpayments, and outstanding documentation. You will also assist with light EMR management, tracking patient status, and ensuring billing-related workflows remain organized and up to date.

This role is especially important as the practice prepares for growth and plans to expand its clinical team in the coming months. The client is currently managing both clinical and administrative operations independently and is seeking a reliable professional who can take ownership of billing and administrative responsibilities to help streamline operations.

The ideal candidate is highly organized, detail-focused, and experienced in handling medical billing workflows across multiple insurance providers. Strong understanding of HIPAA compliance and patient confidentiality is essential.

Scope of Work / Responsibilities

Medical Billing & Claims Processing

• Submit and process medical insurance claims
• Post payments and update billing records accurately
• Follow up on denied, underpaid, or outstanding claims
• Communicate with insurance companies regarding billing issues and claim status

Insurance Verification & Follow-Ups

• Verify patient insurance eligibility and benefits
• Follow up on required documents, signatures, and authorizations
• Manage POCs, faxes, and other billing-related documentation

EMR & Administrative Support

• Assist with light EMR management and updates
• Track patient billing and documentation status
• Maintain accurate billing records and administrative workflows
• Support additional administrative tasks as workload allows

Top 3 Priorities

1. Medical Billing & Claims Processing

• Ensure claims are submitted accurately and followed through efficiently to minimize delays and denials.

2. Insurance Verification & Follow-Ups

• Maintain timely insurance verification and follow up consistently on missing documents, signatures, and authorizations.

3. EMR Management

• Keep patient and billing information organized and updated within the EMR system.

Requirements:
Required Skills and Experience

• Prior experience as a Medical Biller or similar healthcare billing role
• Strong understanding of medical billing workflows, claims processing, denials, and underpayments
• Experience working with multiple insurance companies and payer processes
• Familiarity with insurance verification and follow-up procedures
• High attention to detail and accuracy in documentation and billing tasks
• Ability to work independently with minimal supervision
• Strong organizational and time-management skills
• Clear and professional English communication skills

Systems & Tools Experience

Experience with the following tools is preferred:

• HelloNote
• Go High Level (GHL) phone system
• EMR/EHR platforms and billing systems

Critical Requirements

• Strict adherence to HIPAA compliance and patient confidentiality
• Ability to maintain organized billing and administrative workflows
• Comfortable handling sensitive patient and insurance information

Ideal Candidate Profile

The ideal candidate is:

• Detail-oriented and analytical
• Organized and dependable
• Proactive with strong follow-through
• Comfortable handling repetitive and process-driven tasks
• Able to communicate professionally with insurance companies and healthcare staff
• Self-motivated and capable of working independently in a remote environment

Basic requirements

• Must be proficient in speaking and writing English very clearly
• Must have relevant work experience
• Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory]
• Must be available for video meetings with your camera on (when needed)

Technical requirements

• Device: Reliable laptop or desktop computer.
• Internet: High-speed connection (minimum 10 Mbps).
• Audio: Noise-canceling headset.
• Video: Webcam for virtual meetings.
• Workspace: Quiet, professional environment.

Benefits:
• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, trainings, or allowances listed are optional contractor perks and not employee benefits.