Medical Billing & Coding Specialist – Primary Care

🕒 June 25

🇵🇭 Philippines – Remote

💵 $12.5k - $14.6k / year

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

👻 Ghost score 58%

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Logo of Winning Assistants LLC

Winning Assistants LLC

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

• Prepare, review, submit, and track medical claims within payer filing deadlines • Apply ICD-10, CPT, HCPCS, and E/M billing concepts to identify claim errors and documentation gaps • Investigate pending, rejected, denied, downcoded, or unpaid claims • Process claim corrections, resubmissions, reconsiderations, and appeals • Follow up with insurance payers regarding outstanding claims and reimbursement issues • Identify unfiled claims, approaching filing deadlines, and billing backlogs • Escalate reimbursement risks and unresolved billing concerns • Maintain accurate records of claims and billing activities • Verify patient insurance information, eligibility, and coverage • Manage accounts receivable and outstanding balances • Investigate underpayments, payment discrepancies, and delayed reimbursements • Assist with payment posting, reconciliation, and billing adjustments • Review clinical documentation for completeness and alignment with submitted claims • Coordinate with providers and internal staff to clarify documentation discrepancies • Perform documentation reviews, compliance checks, and risk mitigation tasks • Maintain patient confidentiality and follow HIPAA requirements • Maintain daily progress reports covering claims, follow-ups, pending tasks, and unresolved issues • Collaborate with providers, internal staff, and billing colleagues • Identify workflow, accuracy, and efficiency improvements • Support the transition to in-house medical billing operations • Assist with billing documentation, records management, and administrative responsibilities

🎯 Requirements

• At least 1 year of proven, hands-on U.S. medical billing experience • Strong understanding of the U.S. medical billing and revenue cycle process • Experience preparing, reviewing, submitting, and tracking electronic medical claims • Working knowledge of ICD-10, CPT, HCPCS, and E/M billing concepts • Familiarity with payer reimbursement guidelines, billing requirements, and timely filing deadlines • Hands-on experience managing accounts receivable, unpaid claims, denials, rejections, downcoding, and appeals • Experience communicating directly with U.S. insurance payers • Ability to identify billing errors, documentation gaps, payment discrepancies, and unresolved claims • Experience performing claim corrections, resubmissions, and insurance follow-ups • Ability to review clinical documentation for billing completeness and payer-specific requirements • Strong attention to detail, analytical thinking, and problem-solving skills • Excellent organizational and time-management abilities • Ability to manage tasks independently, meet deadlines, and maintain accurate records • Ability to collaborate professionally with providers, insurance representatives, and internal team members • Excellent written and verbal English communication skills • Knowledge of medical documentation requirements, payer policies, billing compliance, regulatory updates, HIPAA, and patient confidentiality • Proficiency with EHR/EMR systems and practice management software • Experience using medical billing platforms and electronic claims submission tools • Comfortable working with spreadsheets, claims trackers, and billing reports • Must submit an NBI Clearance and/or Local Police Clearance before onboarding • Must be available for full-time work Monday through Friday, 9:00 AM to 6:00 PM Eastern Daylight Time • Reliable laptop or desktop computer • High-speed internet connection of at least 25 Mbps • Noise-canceling headset • Webcam for virtual meetings • Quiet, professional workspace

🏖️ 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; paid time off is optional and only if offered by the client • Access to Tools & Resources, including templates, workflow guides, productivity tools, and client-specific SOP support • Optional Performance-Based Incentives, bonuses, incentives, or increased hours based on performance • Independent contractor perks and client-approved allowances

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