# Medical Billing & RCM Specialist

> Winning Assistants · Philippines (Remote) · Full-time · Posted 2026-10-01

**Salary:** USD 10,400–12,480

**Workplace:** remote

## Description

**Job Title: Medical Billing & RCM Specialist  
Position Type: Full-Time  
Work Hours: 8:00 AM–4:30 PM PDT (30-minute unpaid lunch)  
Work Days: Monday–Friday; occasional weekend work may be required as the business grows  
Salary: $5–$6/hour, depending on experience  
Workplace: Remote  
Preferred Candidate Location: Philippines**

### About the Role

Our client is a growing U.S.-based healthcare diagnostic practice specializing in respiratory, pulmonary, and sleep-related testing. They are looking for an experienced **Medical Billing & RCM Specialist** who can take ownership of daily billing operations, resolve claim issues, and help maintain a healthy revenue cycle.

The ideal candidate has strong hands-on experience with **U.S. medical billing, claims, denials, unpaid claims, insurance verification, and prior authorizations.** This role requires someone detail-oriented, organized, proactive, and comfortable working independently across multiple healthcare systems.

### Key Responsibilities

-   Manage day-to-day **medical billing and** **Revenue Cycle Management (RCM).**
-   Prepare, submit, and track medical claims through payment.
-   Investigate and resolve **claim denials, rejections, and unpaid claims.**
-   Follow up with insurance companies regarding outstanding claims and reimbursement.
-   Perform **insurance eligibility and benefits verification.**
-   Process and track **prior authorizations** and ensure proper documentation.
-   Work extensively with **Optum**, which covers the majority of the practice's patients.
-   Maintain accurate patient, billing, insurance, referral, and authorization records.
-   Use **Office Ally** and other systems, including insurance portals, clearinghouses, Square, spreadsheets, and shared drives.
-   Maintain clear documentation of billing activities and unresolved issues.
-   Communicate professionally with insurance representatives, patients, and healthcare offices as needed.
-   Follow established SOPs and workflows while maintaining **HIPAA** compliance.

## Requirements

-   **U.S. healthcare experience is required.**
-   **Medical Billing and RCM experience is required.**
-   Experience handling claims from submission through payment.
-   Experience resolving **denials, rejections, and unpaid claims.**
-   **Insurance verification and prior authorization experience is required.**
-   Experience using healthcare billing, EHR, or practice management systems.
-   **Office Ally experience is highly preferred.**
-   Optum experience is a strong advantage.
-   Experience with insurance portals and clearinghouses.
-   Strong understanding of U.S. medical billing and insurance workflows.
-   Previous remote/VA experience is preferred but not required.
-   No medical degree or clinical license is required.

### Skills & Basic Requirements

-   Strong attention to detail, organization, and problem-solving skills.
-   Ability to manage multiple claims, follow-ups, and deadlines.
-   Strong written and verbal English communication skills.
-   Professional phone communication skills.
-   Ability to work independently and follow detailed SOPs.
-   Knowledge of HIPAA compliance; certification is preferred.
-   Must provide an NBI Clearance and/or Local Police Clearance before onboarding.
-   Must be available for video meetings with the 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/340F867D68/apply)

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