Billing Specialist

Catena

Billing Specialist in a healthcare organization focused on accurate claim submissions. Collaborating with clinical teams to resolve billing issues and enhance efficiency.

Posted 5/14/2026full-timeRemote • 🇵🇭 PhilippinesJuniorWebsite

About the role

Key responsibilities & impact

- Review and resolve coding issues flagged in billing systems prior to claim submission.
- Identify and correct missing information, demographic mismatches, and coding inconsistencies.
- Ensure claims are submitted accurately and within payer timelines.
- Validate CPT, ICD-10, and modifier usage to support billing compliance.
- Monitor and resolve billing issues held within the EHR system.
- Coordinate with clinical and administrative teams to obtain missing documentation.
- Maintain clean billing queues by proactively addressing preventable claim holds.
- Escalate recurring workflow issues impacting claim submission efficiency.
- Process claims requiring secondary insurance billing and coordination of benefits.
- Attach primary EOB documentation where required.
- Follow up on secondary claims through resolution.
- Ensure accurate payer sequencing and claim routing.
- Track billing percentage metrics and identify trends impacting claim holds.
- Support operational reporting related to pre-submission performance.
- Recommend process improvements to reduce preventable delays.
- Maintain accurate documentation and billing activity records.

Requirements

What you’ll need

- Minimum 1 year of experience in medical billing or revenue cycle management.
- Strong understanding of pre-submission workflows and claim editing processes.
- Experience working within an EHR platform.
- Knowledge of CPT, ICD-10, and modifier usage.
- Strong organizational skills and high attention to detail.
- Excellent written and verbal English communication skills.
- Ability to manage multiple priorities in a fast-paced environment.
Nice-to-Haves (Preferred)
- Experience in ABA or behavioral health billing.
- Familiarity with secondary billing and coordination of benefits processes.
- Experience working with TRICARE, HMSA, Medicaid, and commercial insurers.
- Exposure to high-volume healthcare billing operations.
Tools Proficiency
- Candid or similar billing platforms
- EHR systems
- Google Workspace
- Microsoft Excel or Google Sheets
- Payer portals

Benefits

Comp & perks

- **Competitive Salary:** Based on experience and skills
- **Remote Work:** Fully remote—work from anywhere
- ** 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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical billingrevenue cycle managementCPT codingICD-10 codingmodifier usageclaim editing processesbilling compliancesecondary insurance billingclaim routingbilling metrics tracking

Soft Skills

organizational skillsattention to detailwritten communicationverbal communicationmultitaskingproblem-solvingcollaborationprocess improvement