Senior Medical Billing Specialist – Primary Care

🔥 59 minutes ago

🇵🇭 Philippines – Remote

💵 $14.6k - $16.6k / year

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 13%

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

• Prepare, review, submit, and track medical claims for multiple U.S. primary care providers • Apply ICD-10, CPT, HCPCS, and E/M billing concepts to identify billing errors and coding discrepancies • Investigate rejected, denied, pending, downcoded, or unpaid claims and oversee corrections, resubmissions, appeals, and follow-ups • Verify patient insurance eligibility, coverage, and benefits • Oversee accounts receivable, outstanding balances, underpayments, denials, rejections, and payment discrepancies • Review clinical documentation for billing accuracy, completeness, and compliance • Coordinate with providers and internal staff to resolve documentation discrepancies • Directly manage, supervise, and support a team of medical billing associates • Assign and prioritize billing responsibilities and monitor team performance • Provide coaching, guidance, and constructive feedback • Develop and maintain standard operating procedures, training materials, and onboarding guides • Prepare daily progress reports, billing updates, backlog summaries, and follow-up plans • Communicate billing concerns, workflow challenges, and reimbursement risks to management • Collaborate with providers, management, insurance representatives, and internal staff • Improve billing workflows, accuracy, compliance, and revenue cycle performance

🎯 Requirements

• At least 3 years of proven, hands-on U.S. medical billing experience (mandatory) • Extensive experience in U.S. primary care medical billing (mandatory) • Strong knowledge of primary care diagnoses, medical billing workflows, and reimbursement processes • Advanced working knowledge of ICD-10, CPT, HCPCS, and E/M billing guidelines • Experience preparing, reviewing, submitting, and tracking electronic medical claims • Strong understanding of payer-specific billing requirements and timely filing deadlines • Hands-on experience with accounts receivable, denials, rejections, downcoding, insurance appeals, and payer follow-ups • Proven experience directly managing, supervising, or leading a team of medical billing associates (mandatory) • Experience creating, maintaining, and updating departmental SOPs • Ability to develop training materials, onboarding resources, and staff development processes • Strong understanding of clinical documentation requirements for primary care billing • Knowledge of billing-related compliance checks, risk mitigation, and escalation procedures • Strong understanding of HIPAA and patient confidentiality requirements • Proficiency with EHR/EMR systems, practice management software, and medical billing platforms • Experience using electronic claims submission systems, clearinghouses, and insurance portals • Strong proficiency with spreadsheets, claims trackers, billing reports, and productivity monitoring tools • Excellent written and verbal English communication skills • Must be able to submit an NBI Clearance and/or Local Police Clearance before onboarding (mandatory) • Must be available for video meetings with camera on when required • Must be available to work full-time, Monday through Friday, from 9:00 AM to 6:00 PM Eastern Time • Reliable laptop or desktop computer • Stable high-speed internet connection, minimum 25 Mbps • Noise-canceling headset • Working webcam • 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 (paid time off optional and only if offered by the client) • Access to Tools & Resources • Optional Performance-Based Incentives • Optional bonuses, incentives, or increased hours based on performance