Medical Billing Coordinator
- 🇵🇠Philippines
- Remote
- Mid level
- 1 day ago
- medical billing
- EHR
- prior authorization
- EMR
- HIPAA
- Google Workspace
About the RoleÂ
Our client is a US-based healthcare organization seeking an experienced Medical Billing Coordinator to join their Customer Service team. This role sits at the front line of patient access — handling inbound and outbound calls, verifying insurance benefits, scheduling appointments, and ensuring that every patient interaction is handled with accuracy, professionalism, and care.Â
This is not an entry-level position. The ideal candidate brings hands-on experience in US healthcare call center operations, a solid working knowledge of insurance verification and benefits, and the ability to navigate payer portals and EHR systems with confidence.Â
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Key ResponsibilitiesÂ
Insurance Verification and Benefits (VOB)Â
- Verify patient insurance eligibility, network status, and active coverage prior to appointmentsÂ
- Confirm deductibles, copays, coinsurance, out-of-pocket maximums, and service-specific benefitsÂ
- Identify referral requirements and prior authorization (PA) needs by payer and service typeÂ
- Navigate payer portals and contact insurance carriers directly to verify benefits when portal information is insufficientÂ
- Accurately document all insurance verification details in the EMR/EHRÂ
Patient CommunicationÂ
- Handle inbound patient calls with professionalism, warmth, and efficiencyÂ
- Make outbound calls to patients for scheduling, benefit confirmations, document collection, and follow-upÂ
- Clearly communicate insurance benefit information to patients in plain, understandable languageÂ
- Address patient questions and concerns with patience and accuracyÂ
Scheduling and Administrative SupportÂ
- Schedule, reschedule, and confirm patient appointments across providers and service linesÂ
- Process referrals and coordinate with internal teams and external providers as neededÂ
- Verify and update patient demographic information to maintain accurate recordsÂ
- Maintain complete and organized documentation across all patient interactions and transactionsÂ
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What This Role RequiresÂ
Required ExperienceÂ
- Demonstrated experience in a US healthcare call center environment — this is a firm requirementÂ
- Hands-on experience conducting insurance verification and benefits checks (VOB) for US payersÂ
- Working knowledge of deductibles, copays, coinsurance, out-of-pocket costs, and benefit structures across commercial and government payersÂ
- Experience identifying referral and prior authorization requirements by payerÂ
- Proficiency navigating payer portals and contacting insurance carriersÂ
- Experience documenting insurance verification and patient interactions in an EMR or EHR systemÂ
- Medical scheduling experience, including referral coordinationÂ
Skills and AttributesÂ
- Detail oriented. Accurate verification and documentation are the foundation of this role — errors have real consequences for patients and the practice.Â
- Organized and dependable. You manage a high volume of calls and tasks without losing accuracy or follow-through.Â
- Clear and professional communicator. You speak with patients and insurance representatives confidently and with care.Â
- Patient and composed. You handle difficult conversations, confused patients, and complex payer situations calmly and professionally.Â
- HIPAA aware. You handle all patient information with discretion and in full compliance with HIPAA requirements.Â
Technical RequirementsÂ
- EMR/EHR proficiency — required; specific system training providedÂ
- Payer portal navigation — requiredÂ
- Microsoft 365 or Google Workspace — proficientÂ
- Reliable high-speed internet, a quiet dedicated workspace, and a quality headsetÂ
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Work DetailsÂ
- Schedule: Full-time, Monday through Friday, aligned to US business hoursÂ
- Location: Fully remoteÂ
- Call volume: Mix of inbound and outbound patient callsÂ
- Compliance: HIPAA-compliant environment requiredÂ
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Who Will Thrive HereÂ
This role is the right fit for someone who has worked in US healthcare call center operations and understands the pace, the stakes, and the standards that come with it. You know your way around a payer portal, you verify benefits without cutting corners, and you communicate with patients in a way that puts them at ease. If you take pride in getting the details right and following through on every task, we want to hear from you.Â
This is a full time role
Up to $6/hr
100% Remote
Medical Billing Coordinator · Remote Raven