Medical Biller – SME

Neolytix

Medical Biller SME processing claims and payments for Neolytix, a consulting and management services organization serving U.S. healthcare providers.

Posted 8/5/2026full-timeQuezon City • 🇵🇭 PhilippinesMid-LevelSenior💰 ₱20,000 - ₱41,000 per monthWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing processes, including charge entry, claims processing, and eligibility verification, while ensuring compliance with HIPAA regulations. Proficient in using EHR/EMR systems and managing denied claims effectively.

Highest-signal resume keywords

Medical Billing ExperienceEHR/EMR Portal ProficiencyEligibility VerificationClaims ProcessingHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Charge EntryClaims ProcessingEligibility VerificationDenial ManagementSuperbill ReadingPosting ERAPosting EOBInsurance Guidelines KnowledgeCredentialing KnowledgePayment Posting

Soft Skills

Attention to DetailCommunication SkillsProblem-Solving SkillsOrganizational SkillsTime Management

Tools & Technologies

AdvancedMDAthenaEpicWaystarEClinicalWorksPractice FusionPointClickCareBilling SoftwarePractice Management SystemRemote Work Equipment

Industry Keywords

HIPAAHMOPPOMedicareMedicaidElectronic Remittance AdviceExplanation of BenefitsClaim StatusPatient AccountsProtected Health Information

About the role

Key responsibilities & impact

Post medical charges, payments, and journal entries to patient accounts accurately and promptly
Work with insurance companies, healthcare providers, and patients to process and obtain payment for claims
Verify insurance filing information and patient eligibility and benefits
Verify receipt of patient registration data and notify clients of potential coding problems
Prepare, review, and transmit electronic and paper claims using billing software
Follow up on unpaid claims within the standard billing cycle
Research and appeal denied claims
Meet individual and departmental quality and productivity standards
Handle protected health information consistently with HIPAA
Review patient bills for accuracy and completeness and obtain missing information
Perform eligibility verification and precertification through web or verbal communication with insurers
Call insurance companies for claim status, document findings in the system, and work with different payers
Read superbills and enter charges in the practice management system
Post ERA and EOB transactions from various systems and websites

Requirements

What you’ll need

Medical billing experience; application options include less than 1 year, 1–3 years, 3–5 years, or 5 years and above
Experience using an EHR/EMR portal, such as AdvancedMD, Athena, Epic, Waystar, eClinicalWorks, Practice Fusion, or PointClickCare
Ability to perform eligibility verification and precertification with insurance companies
Ability to call payers for claim status and document results in the system
Ability to read superbills and perform charge entry in a practice management system
Ability to post ERA (Electronic Remittance Advice) and EOB (Explanation of Benefits)
Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
Knowledge of denial management
Ability to handle protected health information in accordance with HIPAA
Credentialing knowledge is an added advantage
Necessary remote-work equipment: laptop/desktop, reliable internet, webcam, noise-cancelling headset, and dedicated workspace at home
Openness to a hybrid night-shift schedule at the Eastwood, Quezon City office

Benefits

Comp & perks

Paid Training
Hybrid HMO
Government mandated Benefits
13 month pay
Paid Leaves
Holiday Pay
Work with diverse team members across countries & cultures
Participate in Clubs based on your hobbies and share your passion with like minded enthusiasts