Senior Medical Billing Specialist at Gear Inc

Muntinlupa, Metro Manila, Philippines -

Full Time

Start Date

Immediate

Expiry Date

26 Sep, 26

Salary

0.0

Posted On

28 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, AR Calling, Denial Management, Stakeholder Management, Data Categorization, Transcript Analysis, HIPAA Compliance, Reporting, Microsoft Office Suite, English Proficiency, Outbound Calling, Process Optimization

Industry

Outsourcing and Offshoring Consulting

Description

The ideal candidates will have at least 2 years of experience in medical billing, AR Calling, Denial Management or a related field and possess strong English proficiency. As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis. Outbound Calling & Stakeholder Management Lead outbound calls to insurance companies and payors to collect comprehensive information, including claim statuses, detailed denial reasons, payment discrepancies, and any required follow-ups. Build and maintain professional relationships with external stakeholders to facilitate timely resolution of complex billing issues. Ensure all communication is conducted in full compliance with client guidelines, healthcare regulations (e.g., HIPAA), and industry best practices. Data Management, Categorization, and Reporting Independently manage accurate recording, categorization, and labeling of data using client-defined taxonomy, ensuring alignment across teams. Identify gaps or inconsistencies in data categorization and proactively propose improvements to enhance reporting quality and analysis efficiency. Prepare and deliver detailed, structured reports and dashboards to the client at agreed frequencies, highlighting key trends and potential risks. Advanced Call Transcript Analysis & Process Optimization Review and analyze recorded call transcripts to extract actionable insights, identify denial trends, systemic issues, and patterns impacting claim outcomes. Synthesize findings into comprehensive reports and present recommendations for process enhancements, contributing to the continuous improvement of billing and collection workflows. Collaborate closely with internal teams and client representatives to implement agreed process changes and measure their effectiveness. Mentorship & Knowledge Sharing Provide guidance and support to junior team members in best practices for calling, data labeling, and analysis. Contribute to the development of internal training materials and knowledge bases. Qualifications: Minimum of 2 years of experience in medical billing, insurance claims, or a related field. Strong English proficiency, both verbal and written. Familiarity with healthcare regulations and industry guidelines. Excellent communication skills with the ability to make outbound calls to insurance companies and payors. Detail-oriented and able to maintain accurate records. Ability to work independently while adhering to internal guidelines and procedures. Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus. Additional Information: This is a full-time position, and the successful candidate will work closely with the clients team to support their AI-powered platform in improving medical billing operations. The role offers an opportunity for professional growth and development within a dynamic, technology-driven environment.

Responsibilities

The role involves managing outbound calls to insurance companies to resolve billing discrepancies and analyzing call transcripts to optimize collection workflows. Additionally, the specialist will handle data categorization and provide detailed reporting to clients to improve billing operations.