# Medical Billing & Claims Specialist > Winning Assistants · Philippines (Remote) · Full-time · Posted 2026-09-04 **Salary:** USD 10,400–12,480 **Workplace:** remote ## Description **Job Title: Medical Billing & Claims Specialist** **Position type: Full-Time** **Work hours: 8:00 AM to 5:00 PM Central Daylight Time (final schedule might change)** **Work days: Monday to Friday** **Salary: $5 - $7 per hour, depending on experience** **Workplace: Remote** Our client is a well-established **U.S.-based allergy and immunology medical practice** seeking an experienced and detail-oriented **Medical Billing & Claims Specialist** to support its existing in-house billing team. This role is primarily focused on c**laims posting, claims management, denial management, and billing support.** You will work with a steady volume of medical claims and help ensure they are processed accurately, efficiently, and in compliance with established billing procedures. The ideal candidate has at least **2–3 years of hands-on medical billing experience**, with strong experience in both **claims posting and claims management for medical procedures**. You should be comfortable investigating denied claims, handling complex billing scenarios, and following claims through resolution and payment. Training will be provided for the practice's systems, **ModuleMD and RXNT**, so candidates with strong medical billing experience using other platforms are also encouraged to apply. ### Key Responsibilities ### Claims Posting & Management - Post and process medical claims accurately and efficiently - Manage claims related to medical procedures from submission through resolution - Review claims for completeness and accuracy before processing - Maintain accurate posting and billing records - Manage a consistent daily volume of claims while maintaining quality and accuracy - Track claim status and follow up on outstanding claims - Help ensure claims are processed according to established billing and compliance requirements ### Denial Management & Follow-Up - Review and work denied or rejected claims - Identify reasons for denials and take appropriate corrective action - Resubmit or follow up on claims as necessary - Work toward successful claim overturns and reimbursement - Document denial actions and claim follow-up accurately - Identify recurring billing or denial issues when appropriate ### Medical Billing Support - Provide billing support to the existing in-house billing team - Assist with complex billing scenarios, including situations involving multiple patient reimbursements - Review payer information and billing documentation as needed - Maintain organized and accurate billing records - Follow established compliance and confidentiality requirements - Assist with additional billing-related responsibilities as assigned ### Performance Expectations Performance will be evaluated based on factors such as: - Number of claims accurately processed and posted - Accuracy of claims posting - Productivity and ability to manage the expected daily claims volume - Number and percentage of denied claims successfully overturned or paid - Quality and accuracy of billing documentation - Consistency in meeting established claims-processing goals The practice is targeting strong productivity in claims processing, with an expectation of working toward **at least 80 claims posted per day** and approximately **85–90% successful resolution/payment of worked claims**, where applicable. ## Requirements ### Required Skills & Experience - Minimum **2–3 years of medical billing experience** - **Hands-on claims posting experience is required** - **Strong experience managing claims for medical procedures is required** - Experience working denied and rejected claims through resolution - Strong understanding of the medical billing and claims lifecycle - Ability to investigate claim issues and determine appropriate next steps - Experience handling complex billing scenarios - Strong understanding of billing accuracy, compliance, and confidentiality requirements - Ability to manage a high volume of claims while maintaining accuracy - Strong attention to detail and organizational skills - Able to work independently and consistently meet productivity expectations - Clear and professional written and spoken English - Reliable, accountable, and comfortable working as part of an established billing team ### Preferred Experience - Experience using **ModuleMD** - Experience using **RXNT** - Previous experience supporting a U.S.-based medical practice - Experience working with specialty medical billing - Experience managing high-volume claims - Demonstrated success working denied claims and obtaining reimbursement **ModuleMD and RXNT** experience is preferred but not required. Training will be provided, and experienced medical billers who have worked with other billing, practice management, or EHR systems are encouraged to apply. ### Basic Requirements - Must speak and write English clearly and professionally. - Must have relevant work experience. - Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). - Must be available to attend video meetings with camera on when required. ### Technical Requirements - Computer: Reliable laptop or desktop computer. - Internet: Stable high-speed internet connection (minimum 25 Mbps). - Audio: Noise-canceling headset. - Video: Working webcam for virtual meetings. - Workspace: Quiet and professional work environment. ## Benefits - **Dedicated HR & Contractor Support Team:** Access to world-class support for questions, guidance, contract matters, and client communication. - **Premium VPN Access (Optional):** A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - **HIPAA & Cybersecurity Training + Certification (Provided):** Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - **Top 1% VA Performance Training:** Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - **Client-Approved U.S. Holidays:** Contractors may take U.S. holidays off according to the client’s needs and schedule. - **Client-Approved Paid or Unpaid Time Off:** Time off may be granted by your client. Paid time off is optional and only if offered by the client. - **Access to Tools & Resources:** Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - **Optional Performance-Based Incentives:** Some clients may offer bonuses, incentives, or increased hours based on your performance. These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits. ## Apply [Apply at Winning Assistants](https://apply.workable.com/winning-assistants/j/026DC8523F/apply) --- Powered by [Workable](https://www.workable.com)