Total 16 sales support specialist job vacancies in Health / Beauty / Fitness category in Metro Manila

LOOKING FOR FILIPINO CANDIDATES, RESIDING IN THE PHILIPPINES

Position                   : Utilization Review Nurse

Working Hours       : Monday-Friday: 8:00 AM – 5:00 PM Easter time

Salary                      : $1,200 - $1,400/ month

Job Summary:

The Utilization Review Nurse performs an integral role in our utilization review process by performing record review/case summaries, selection and application of guidelines/literature, quality assurance of physician reviewer reports, and administrative support, including phone and email, for both clinical and non-clinical staff.

Essentials Duties and Responsibilities:

To perform this job successfully, the employee must be able to efficiently and effectively perform each of the following essential functions. Reasonable accommodation may be made for individuals with disabilities.

These duties include but are not limited to:

• Perform all aspects of Utilization Review for Workers' Compensation and group health peer and independent reviews including record summarization and application/interpretation of literature/guidelines. 
• Serve as a liaison between physician reviewer staff and senior clinical leadership.
• Quality Assurance of independent and peer reviews prior to client-side submission.
• Assist the Case Analyst in times of high volume or coverage with administrative tasks such as phone or email support. 
• Language Skills: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory and governmental agencies, attorneys, or members of the business community.  Ability to write letters, memos and reports that conform to prescribed style, format and grammatical correctness. Ability to effectively present information to top management, in claims and client settings. Strong written and verbal communication skills to effectively communicate with injured workers, medical professionals, employers, claims staff and others. 
• Math Skills: Ability to calculate percentages and statistics in compiling quality management reports.  Ability to convert statistical information into appropriate graphs for data analysis.
• Reasoning Skills: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical and/or clinical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Must have strong organizational, problem solving and time management skills. Sound professional judgement.

• At least 2 years of experience as a Workers Compensation Utilization Review Nurse in a US setting is required
• Must be a registered nurse in the Philippines; USRN licensed is a plus
• Ability to research relevant literature 
• Proficiency with Microsoft Office programs 
• Strong oral and written communication skills
• Strong statistical skills for compiling and presenting data
• Understanding and ability to apply quality assurance concepts

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Account specific roles and responsibilities

• Updating patient records in the system.           
• Rebilling medications accordingly.           
• Adding new patients or records in the system for every new facility that will start.           
• Calling facilities and insurance to get claims override           
• Researching for patient's insurance or eligibility           
• Emailing facilities to communicate medications for Prior Authorization 

• At least 6 months BPO experience in a Healthcare Account
• Proficient in using MS Tools (Excel/Word/Outlook)
• Excellent verbal & written English skills.
• Ability to prioritize and multitask in a fast-paced environment.
• Strong problem-solving skills and ability to work independently and as part of a team.
• Willing to work onsite in MAKATI.
• Amenable working night shift.

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

Position: Medical Billing Specialist

Working Hours: Monday - Friday; 8:30am - 5:30pm CST

Salary Range:  USD 900 - USD 1,400/month

Tasks:

• Coding and billing multiple CPT codes per date of service for the private practice.
• Stay up-to-date with remittances and ensure timely posting and reconciliation.
• Handle the submission of medical records as required.
• Initiate requests for rate increases from insurance companies.

• Minimum of 1 year of experience in accurately coding and billing multiple CPT codes per date of service within a private practice setting (essential requirement).
• Experience and comprehensive understanding of the credentialing process is highly advantageous.
• Familiarity with the process for requesting pre-authorizations from commercial insurance payers and Texas Medicaid Managed Care Organization is preferred.
• A positive attitude and a demonstrated track record as a medical billing rockstar.
• Ability to think creatively and adapt to changing circumstances as required.
• Proficiency in or willingness to learn how to utilize Waystar Clearing House (training will be provided if necessary).
• Previous experience in billing for speech therapy services is a significant advantage.

We are expanding and hiring an experience Medical Representative for Diabetology franchise in each of the location/configuration.

1. Cebu North

2. Marikina - San Mateo - Montalban

3.Angeles - Arayat - Zambales

4.Cebu South - Bohol

5.SAN FERNANDO-WEST PAMPANGA-BATAAN

Responsibilities

• Delivers profitability and recognition for the organization by selling and providing services to customers utilizing organization tools, techniques, and intellectual capital to assist the healthcare industry by bettering processes, implementing new technologies; and accruing new technical capabilities to meet pharmaceutical and medical demands.
• Maximizes sales growth by relying on a comprehensive knowledge of one or more therapeutic disciplines and/or specialty areas to secure repeat business and gain customer loyalty.
• Targets, promotes, and sells specialized products or services; identifies target customers and producers; achieves sales targets; maintains an up-to-date understanding of products and clinical efficacy, proximity to specialist market trends or developments and customer satisfaction.
• In line with Company strategy and objectives, maximize sales growth within in a specified geographical territory or target industry, relying on developing knowledge of one or more therapeutic disciplines and or specialty areas in order to secure repeat business and gain customer loyalty. 
• This is generally achieved by educating and informing the target audience on the features and benefits of the specialty product(s) versus competitor products in order to increase prescriptions and or use by the healthcare professionals.
• Achieve assigned activity goals and targets for the territory as agreed with the reporting manager.
• Within a specific geographical territory, identify target customers and physician profiling while maintaining and analyzing customer records.
• Conduct sales interviews, carry out pre-call planning and preparation and develop a self analytical approach in order to identify learning areas from each call.
• Demonstrate a good understanding of the product (s) clinical efficacy and be able to state the features and benefits of the customer’s products based on a developing understanding of the specialty area or therapeutic discipline.
• Successfully manage objections and or issues raised, escalating more sensitive or complex queries.
• Maintain records in the reporting systems within the required timescales.
• Effectively utilize the relevant software (e.g. Electronic Territory Management System, CRM systems) to maintain records updated and to report daily calls
• Coordinate group events related to speciality area to optimize business while complying with relevant country legislation.
• Keep Line Manager informed about changes in competitor activities and other market changes.
• Attend training courses and or seminars to continue to develop and deepen knowledge within specialty and disease areas and read relevant publications as per customer profile.
• Keep all Company equipment safe and in a good state of repair.
• Share experiences, ideas and techniques in order to assist with the sales training of colleagues.
• Discuss, agree and document assigned activity, Key Performance Indicator tools, and targets as agreed with Line Manager.
• Successfully complete career development courses and additional training as required by the customer.
• Ensure the reporting of any identified Adverse Events in line with prevailing process and guidelines.
• Project a professional impression of the Company and act in accordance with the relevant Pharmaceutical Industry’s Code of Practice
• Perform other duties as assigned.

Requirements

• Require 1 - 2 years of prior relevant experience in Medical Sales .
• Bachelor's Degree in Life Sciences / Pharmacy / Business or related field
• Good understanding of Healthcare Market and related procedures.   
• Fluency software operating systems, such as MS Office and customer relationship management systems.   
• Effective verbal and written communication skills.   
• Ability to conduct face to face presentations to customers. 
• Ability to establish and maintain effective working relationships with coworkers, managers and clients

#LI-CES
#LI-PK1
#LI-DNP

IQVIA is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. We believe in pushing the boundaries of human science and data science to make the biggest impact possible – to help our customers create a healthier world. Learn more at https://jobs.iqvia.com

MedCore Solutions, Bizforce's medical division is currently seeking a Dental Insurance Verifier to join our team. As a Dental Insurance Verifier, you will play a critical role in the dental insurance process by verifying insurance coverage and benefits for patients. You will be responsible for working closely with dental providers, insurance companies, and patients to ensure accurate and timely verification of insurance information.

At MedCore Solutions we prioritize efficiency, accuracy, and excellent customer service. We are looking for a detail-oriented and organized individual who is experienced in dental insurance verification and has a strong understanding of dental terminology and procedures.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

We offer an expansive suite of administrative products and trainings to keep your practice and its employees safe and up to date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use, and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities:

• Assist and handle incoming calls from members and/or providers
• Verify dental insurance coverage and benefits for patients (and a little of dental claims)
• Communicate with dental providers, insurance companies, and patients to gather necessary information
• Ensure accuracy and completeness of insurance verification
• Enter and update insurance information in the system
• Resolve any discrepancies or issues related to insurance coverage
• Provide excellent customer service to patients by addressing their insurance-related inquiries and concerns

• At least 3 years of experience in dental insurance verification (members and providers) in the US healthcare
• Strong understanding of dental terminology and procedures
• Knowledge of dental insurance plans and coverage
• Detail-oriented with excellent data entry skills
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Proficient in using dental insurance verification software/systems
• Amenable to work in a graveyard shift

Other details:

Start Date: TBD

Schedule: 8 hours shift Monday - Friday; Days off: Saturday and Sunday

Type of Work: Full-time

Location: Permanent Work from Home

Duration: Steady State

Training: At least 1-2 weeks

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

Permanent Work From home

Permanent Weekends Off

Great Company Culture and No Micromanagement

Benefits

MedCore Solutions, Bizforce's medical division, is seeking for skilled WFH Rheumatology Medical Billers to join our team. As a US Medical AR Specialist, you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home permanently and will have the opportunity to work with a dynamic team in a fast-paced environment. BizForce & MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing. Upon your request our team of certified coders can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue-producing activities.

Responsibilities

• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur
• Maintain Medicare bad-debt cost report
• Secure outstanding balance payments for the care of employees
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Other details:

Start Date: TBD

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: EST

Duration: Full-time Steady state

• At least 3-5 years of experience as a US Medical AR Specialist
• Knowledge of medical billing and coding practices
• Strong understanding of the healthcare billing process
• Familiarity with healthcare insurance plans and related policies
• Experience with HIPAA regulations
• Excellent communication and customer service skills
• Strong attention to detail
• Strong computer skills and experience with medical billing software.
• Amenable to work in any US time zones (graveyard shift)
• At least 1 year of experience in Physical Therapy billing
• Preferably with experience in Agile EMR

Key Results

• Reduce coding and billing error rate
• Achieve the target collections goals set and collections status report
• Reduced number of denials and complaints
• Achieve an accuracy rate of 99%
• Utilization of billing and coding software programs

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education

• Specialized Training

MedCore Solutions, Bizforce's medical division, is seeking skilled WFH Rheumatology Coders to join our team. As a Rheumatology Coder, you will be responsible for reviewing and analyzing medical records, assigning appropriate codes for diagnoses and procedures, and ensuring compliance with coding guidelines and regulations. This position offers the flexibility of remote work from home permanently.

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing. Upon your request, our team of certified coders can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue-producing activities. 

Responsibilities

• Review and analyze medical records to accurately assign ICD-10-CM, CPT, and HCPCS codes
• Ensure coding accuracy and compliance with coding guidelines and regulations
• Abstract clinical information from medical records and assign appropriate codes
• Collaborate with healthcare professionals to clarify documentation and obtain necessary details
• Stay updated with changes in coding guidelines and regulations
• Meet productivity and quality targets
• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
•  Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details

• The possible start date will be in 2 weeks or earlier
• 8-hour shift Monday-Friday (graveyard shift)
• Weekend days off
• Duration: Long-term; Steady-state

• Must be AAPC/AHIMA certified coder
• At least 3-5 years of clinical experience in Medical Coding (Outpatient/Inpatient)
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)
• Excellent communication and teamwork skills
• At least 1 year of experience in Rheumatology coding
• NextGen system experience - bonus

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education

• Specialized Training

#1 PH Workforce Delivering to the US

Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Medical Coders to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical documents into medical codes for health insurance claims purposes. Additionally, you will be liaising with the client and team members for coding-related queries and concerns, performing audits for coding denials and missing information, and maintaining a tracking system for coded charts. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today!

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing.

We offer an expansive suite of administrative products and training to keep your practice and its employees safe and up-to-date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
•  Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details

• The possible start date will be in 2 weeks or earlier
• 8-hour shift Monday-Friday (graveyard shift)
• Weekend days off
• Duration: Long term; Steady-state

• Must be AAPC/AHIMA certified coder
• At least 3-5 years of clinical experience in Medical Coding
• At least 6 months experience in Rheumatology coding
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)
• Experience in using Athena Health EMR/EHR is a bonus

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5

• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
• Peripherals: Headset with noise-canceling feature

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

LOOKING FOR FILIPINO CITIZENS BASED IN THE PHILIPPINES

Job Title: Medical Writer | Content Writer

Work Hours:  Flexible Hours, as long as the work is being done (they're in GMT+4)

Holidays : TBD

Pay Range: $900- $1200

Duties and Responsibilities:

• Write all the various components required for service plans, ensuring accuracy, clarity, and consistency.
• Create service plans for their customers
• Produce a minimum of 1-2 pieces of content per day, provided all necessary information is available.
• Collaborate with cross-functional teams to gather relevant information and insights for content creation.

• Proficiency in Microsoft Office suite.
• Familiarity with Box software (training provided), similar to Dropbox, for efficient document management.
• Excellent communication skills, both written and verbal, with the ability to convey complex information in a clear and concise manner.
• A minimum of 3 years of experience in healthcare or social work is preferred, demonstrating a solid understanding of industry terminology and practices.
• Strong organizational skills with the ability to prioritize tasks and meet deadlines.
• Detail-oriented, ensuring accuracy and consistency in all written materials.

#1 PH Workforce Delivering to the US

MedCore Solutions, is seeking a skilled Prior Authorization Specialist with Medical Billing experience to join our growing team. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! The traditional model of the office workforce has been shifting as outsourcing has grown in PH at rates never before seen. As global businesses rise out of the pandemic, labor markets have not only tightened but the inflationary rates have caused companies to look for solutions on how to best deliver skilled labor services and results. We are proud to partner with PH and deliver qualified, professional workers, giving our employees the ability to have an unbeatable career and work from home.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

Responsibilities

• Review and process prior authorization requests for medical services, procedures, and medications
• Verify insurance information and eligibility
• Coordinate with healthcare providers and insurance companies to obtain necessary authorizations
• Ensure accurate and timely documentation of authorization requests and approvals
• Collaborate with medical billing team to resolve any issues or denials
• Maintain up-to-date knowledge of insurance guidelines and procedures
• Manage accounts receivables and keep up-to-date records
• Tasks will gradually transition into a Biller/AR task
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Requirements:

• Previous experience as a Prior Authorization Specialist in a medical billing setting
• Strong understanding of medical billing and insurance processes
• Excellent communication and interpersonal skills
• Detail-oriented with strong organizational skills
• Ability to work independently and meet deadlines
• Proficient in using medical billing software and MS Office Suite
• High school diploma or equivalent, relevant certifications a plus
• Comfortable working in a remote, work-from-home setup

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

#1 PH Workforce Delivering to the US.

MedCore Solutions, is seeking Credentialing Specialists and Medical Billers to join our growing team. BizForce & MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! The traditional model of the office workforce has been shifting as outsourcing has grown in PH at rates never before seen. As global businesses rise out of the pandemic, labor markets have not only tightened but the inflationary rates have caused companies to look for solutions on how to best deliver skilled labor services and results. We are proud to partner with PH and deliver qualified, professional workers, giving our employees the ability to have an unbeatable career and work from home.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

Responsibilities

• Process applications for healthcare provider enrollment and privileging with insurance companies and various other organizations
• Coordinate and facilitate the credentialing and re-credentialing processes
• Submit and monitor credentialing applications to ensure timely completion
• Review and verify provider credentials and documents for accuracy and completeness
• Communicate with providers, insurance carriers, and organizations to obtain missing or additional information as necessary
• Maintain accurate and up-to-date provider information and credentialing files
• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

• Proven work experience as a Credentialing Specialist and/or Medical Biller
• Solid understanding of healthcare provider enrollment and privileging processes
• Experience with billing software and electronic medical records
• Knowledge of medical insurance policies and claim processes
• Must have the ability to multitask and manage time effectively
• Excellent written and verbal communication skills
• Outstanding problem-solving and organizational abilities

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Biller Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Roles and Responsibilities:

• calling insurances to follow up claims

• At least 6 months experience in Medical Billing Team Lead
• at least 6 month healthcare experience
• Detail Oriented
• Good communication skills
• can work on a shifting schedule

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Biller Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Roles and Responsibilities:

• calling insurances to follow up claims

• At least 6 months experience in Medical Billing
• at least 6 month healthcare experience
• Detail Oriented
• Good communication skills
• can work on a shifting schedule

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

**LOOKING FOR FILIPINOS BASED IN THE PHILIPPINES!!!

Position:  Medical Billing Specialist 

Salary Range:  USD 900-1500 /month

Working Schedule : Monday to Friday 9:00 AM to 5:00 PM EST | 10:00 PM to 6:00 AM Manila Time 

ABOUT THE COMPANY

The company provides individualized services to individuals diagnosed with Autism Spectrum Disorders and other developmental disabilities. 

Responsibilities:

• Responsible for verifying and posting charges, include working denials and rejections.
• Manage enrollment, management, claim submission, and payment posting of patient assistance programs.
• Responsible for posting and monitoring payments from patients and third-party payers.
• Research and correct all insurance denials.
• Verify and obtain required pre-certifications, pre-authorization, pre-determinations or other required notifications from third-party payers.
• Identify delinquent accounts for enhanced collection activities and/or follow-up.
• Perform collection actions, including contacting patients, insurance companies, and/or patient assistance programs by telephone and/or letter and resubmitting claims, as necessary.
• Follow up on unpaid or improperly paid claims as necessary.
• Check and resolve tasks assigned through email, EMR, and other internal communication channels.

• 5+ years of medical billing assistant
• Tools: Google workspace, Microsoft Excel(required) Trello (peferred)
• Must have experience using any CRM tool
• Good written and verbal communication skills

LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES

Position: Medical Virtual Assistant

Working Hours: 1 am- 9 am Philippine Standard Time for 2 or 3 days; the rest can be flexible

Salary Range: up to 1000 USD

About the company: 

The counselors at [Confidential Company] strive to help you obtain self knowledge, practice self control, and gain clarity of mind. We do this so that you may learn to live more fully, laugh more openly, and love more unconditionally. Our goal is to offer fully engaged and guided conversations with someone wise and merciful.

Regardless of the treatment style or modality used in counseling, the rapport between patient and therapist is the most essential ingredient of growth. The “who” almost always outweighs the “how.” Ask us to explain this further.

We bring backgrounds in psychiatry, nursing, guidance and education, couples counseling, mindfulness, chronic pain management, forensic counseling, sports coaching, community mental health, pastoral counseling, biofeedback, hypnotherapy, traumatology, sex therapy, grief counseling, and psychological testing.

About the job:

We are currently seeking a Medical Virtual Assistant to join our team. The ideal candidate will play a crucial role in our healthcare administration, focusing on patient scheduling, insurance verification, billing insurance, and submitting claims. As a Medical Virtual Assistant, you will be responsible for efficiently managing patient appointments, ensuring accurate insurance information, handling insurance billing procedures, and submitting claims in a timely manner.

Duties and Responsibilities:

• Schedule and coordinate patient appointments, optimizing the healthcare provider's daily schedule.
• Verify patient insurance information to ensure accuracy and eligibility.
• Manage insurance billing processes, including coding and submission of claims.
• Submit insurance claims promptly, following up on any discrepancies or denials.
• Communicate effectively with healthcare providers, patients, and insurance companies to resolve any billing-related inquiries.
• Maintain up-to-date knowledge of medical coding and billing regulations.
• Collaborate with the healthcare team to streamline administrative processes and improve overall efficiency.
• Ensure compliance with all relevant healthcare regulations and standards

• At least 1 year of experience in the same role is preferred.
• Must be knowledgeable using Google Workspace.
• Familiarity with HIPAA compliance is an advantage.
• Familiarity with US health insurance is also a plus.

**LOOKING FOR FILIPINOS BASED IN THE PHILIPPINES!!!

Position:  Medical Billing Specialist 

Salary Range:  USD 900-1500 /month

Working Schedule : Monday to Friday 9:00 AM to 5:00 PM EST | 10:00 PM to 6:00 AM Manila Time 

ABOUT THE COMPANY

The company provides individualized services to individuals diagnosed with Autism Spectrum Disorders and other developmental disabilities. 

Responsibilities:

• Responsible for verifying and posting charges, include working denials and rejections.
• Manage enrollment, management, claim submission, and payment posting of patient assistance programs.
• Responsible for posting and monitoring payments from patients and third-party payers.
• Research and correct all insurance denials.
• Verify and obtain required pre-certifications, pre-authorization, pre-determinations or other required notifications from third-party payers.
• Identify delinquent accounts for enhanced collection activities and/or follow-up.
• Perform collection actions, including contacting patients, insurance companies, and/or patient assistance programs by telephone and/or letter and resubmitting claims, as necessary.
• Follow up on unpaid or improperly paid claims as necessary.
• Check and resolve tasks assigned through email, EMR, and other internal communication channels.

• 5+ years of medical billing assistant
• Tools: Google workspace, Microsoft Excel(required) Trello (peferred)
• Must have experience using any CRM tool
• Good written and verbal communication skills