Medical Billing & Claims Specialist

🔥 52 minutes ago

🇵🇭 Philippines – Remote

💵 $5 - $7 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 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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Winning Assistants LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Winning Assistants LLC is a staffing and recruiting company that provides virtual assistants from the top 1% of the global talent pool. They specialize in helping doctors, healthcare professionals, and business owners save time, reduce costs, and scale operations with highly skilled, HIPAA-compliant virtual assistants. Their services include admin support, medical office management, marketing, and customer service, allowing clients to focus on growth.

📋 Description

• Post and process medical claims accurately and efficiently • Manage claims for medical procedures from submission through resolution • Review claims for completeness and accuracy before processing • Maintain accurate posting and billing records • Manage a consistent daily volume of claims while maintaining quality and accuracy • Track claim status and follow up on outstanding claims • Ensure claims are processed according to established billing and compliance requirements • Review and work denied or rejected claims • Identify reasons for denials and take corrective action • Resubmit or follow up on claims as necessary • Work toward successful claim overturns and reimbursement • Document denial actions and claim follow-up accurately • Identify recurring billing or denial issues • Provide billing support to the existing in-house billing team • Assist with complex billing scenarios, including multiple patient reimbursements • Review payer information and billing documentation • Maintain organized and accurate billing records • Follow compliance and confidentiality requirements • Assist with additional billing-related responsibilities as assigned • Work toward at least 80 claims posted per day and approximately 85–90% successful resolution/payment of worked claims

🎯 Requirements

• Minimum 2–3 years of medical billing experience • Hands-on claims posting experience is required • Strong experience managing claims for medical procedures is required • Experience working denied and rejected claims through resolution • Strong understanding of the medical billing and claims lifecycle • Ability to investigate claim issues and determine appropriate next steps • Experience handling complex billing scenarios • Strong understanding of billing accuracy, compliance, and confidentiality requirements • Ability to manage a high volume of claims while maintaining accuracy • Strong attention to detail and organizational skills • Able to work independently and consistently meet productivity expectations • Clear and professional written and spoken English • Reliable, accountable, and comfortable working as part of an established billing team • Must speak and write English clearly and professionally • Must have relevant work experience • Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory) • Must be available to attend video meetings with camera on when required • Reliable laptop or desktop computer • Stable high-speed internet connection (minimum 25 Mbps) • Noise-canceling headset • Working webcam for virtual meetings • Quiet and professional work environment

🏖️ Benefits

• Dedicated HR & Contractor Support Team • Premium VPN Access (Optional) • HIPAA & Cybersecurity Training + Certification (Provided) • Top 1% VA Performance Training • Client-Approved U.S. Holidays • Client-Approved Paid or Unpaid Time Off • Access to Tools & Resources • Optional Performance-Based Incentives • Optional bonuses, incentives, or increased hours based on performance