Key skills
CRMMentoringCommunicationRemote WorkSales
About this role
Role Overview
- Lead, coach, and mentor a team of medical billing specialists.
- Review team outputs to ensure accuracy and compliance with billing policies.
- Act as escalation point for complex payer and patient billing issues.
- Identify inefficiencies and implement process improvements and best practices.
- Verify insurance eligibility and benefits through payer portals and systems.
- Communicate with insurance providers to confirm coverage details.
- Generate and explain accurate patient cost estimates for services.
- Confirm network participation and coordinate with credentialing as needed.
- Enter, reconcile, and manage patient charges across systems.
- Process copays, co-insurance, and upfront payments accurately.
- Resolve claim submission errors and address payer denials.
- Conduct denial analysis, correct issues, and resubmit claims.
- Submit and track prior authorizations and referrals.
- Monitor authorization limits, expirations, and utilization.
- Ensure timely and compliant submission of provider documentation.
- Respond to patient billing inquiries via email or ticketing systems.
Requirements
- 5+ years of experience in medical billing, including end-to-end billing workflows
- 1–2+ years of experience leading or mentoring a billing team
- Strong knowledge of insurance verification, claims processing, and denial management
- Experience handling payer communications and complex billing escalations
- Excellent written and verbal English communication skills
- High attention to detail and accuracy in financial and billing processes
- Ability to work in a fast-paced, high-volume environment
- Experience in a multi-provider or clinic setting
- Familiarity with US healthcare billing standards and compliance
- Experience working with remote or distributed teams
- Background in process improvement or workflow optimization
Benefits
- Competitive Salary: Based on experience and skills
- Remote Work: Fully remote—work from anywhere
- Performance Bonus: Based on data accuracy, reporting timeliness, and overall sales efficiency
- Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting
- Generous PTO: In accordance with company policy
- Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees
- Direct Mentorship: Guidance from international industry experts
- Learning & Development: Ongoing access to resources for professional growth
- Global Networking: Connect with professionals worldwide