Billing, Accounts Receivable Specialist

Job not on LinkedIn

🕒 2 days ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Infinit-O

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

💼 Consulting

💸 Finance

🏥 Healthcare

Consulting • Finance • Healthcare

Infinit-O is a company that empowers finance and healthcare organizations to thrive in a digital-first world by offering specialized industry expertise and innovative business process optimization solutions. They focus on streamlining operations, enhancing customer experience, and driving sustainable growth, serving as a trusted partner to help businesses adapt to market changes and improve efficiency while controlling costs. Infinit-O emphasizes a data-driven approach to decision-making and is committed to optimizing processes to increase productivity and quality.

📋 Description

• Review assigned accounts receivable work queues, aging reports, and outstanding claims • Follow up with insurance payers through payer portals, phone calls, electronic inquiries, and written correspondence • Investigate unpaid, underpaid, rejected, and denied claims and determine appropriate resolutions • Correct billing errors and submit corrected claims, reconsiderations, and appeals within payer filing deadlines • Review remittance advice, explanations of benefits, and electronic remittance data • Identify payment discrepancies, contractual underpayments, inappropriate denials, and incorrect patient responsibility • Confirm claim receipt, processing status, payment information, denial reasons, and documentation requirements • Research eligibility, benefits, authorizations, referrals, coordination of benefits, credentialing, enrollment, coding, and claim-routing issues • Verify accurate patient, provider, payer, diagnosis, procedure, modifier, place-of-service, and billing information • Submit requested medical records and supporting documentation to payers • Transfer balances to the appropriate payer or patient after necessary research • Work credit balances and payment-posting discrepancies • Maintain detailed account notes and monitor deadlines • Follow up until assigned claims or balances are fully resolved • Escalate recurring payer issues, system problems, credentialing concerns, coding questions, and high-dollar accounts • Communicate professionally with clients, providers, patients, payers, and internal team members • Meet productivity, quality, accuracy, and turnaround-time expectations • Participate in account reviews, team meetings, training sessions, and process-improvement initiatives • Maintain confidentiality and comply with HIPAA, company policies, payer requirements, and healthcare regulations • Perform additional billing and revenue-cycle duties as assigned

🎯 Requirements

• High school diploma or equivalent • At least two years of medical billing, insurance follow-up, or healthcare accounts receivable experience required/preferred • Strong background in billing for general outpatient specialties, including Primary Care, Psychiatry, Gastroenterology, Dermatology, etc. • Experience using practice management systems, electronic health records (EHRs), clearinghouses, and payer portals • Experience with platforms such as Tebra, SimplePractice, Practice Fusion, Athena, eClinicalWorks, etc. • Working knowledge of the medical billing and revenue-cycle process • Experience researching claim status and resolving rejections, denials, and underpayments • Ability to interpret remittance advice, explanation of benefits (EOB), denial codes, adjustment reason codes, and payer correspondence • Familiarity with CPT, HCPCS, ICD-10-CM codes, modifiers, and medical terminology • Strong written and verbal communication skills • Strong organizational, problem-solving, and analytical skills • Ability to manage multiple priorities and follow accounts through final resolution • Proficiency with Microsoft Office, including Excel, Outlook, and Word • Must successfully pass a 90-day probation period • Preferred: Experience with Medicare, Medicaid, commercial insurance, managed-care plans, and workers’ compensation • Preferred: Experience preparing corrected claims, reconsiderations, and formal payer appeals • Preferred: Knowledge of payer contracts, reimbursement methodologies, and contractual adjustments • Preferred: Certified Professional Biller (CPB), Certified Professional Coder (CPC), or another relevant healthcare certification • Preferred: Experience in a multi-specialty or outsourced revenue-cycle environment

🏖️ Benefits

• Remote position • Equal opportunity through inclusive hiring practices • Continuous learning programs • Regular equity assessments • Participation in team training sessions and process-improvement initiatives