Medical Billing Representative

About the Role

WRS Health is a leading developer of cloud-based Electronic Health Record and Practice Management solutions designed to streamline medical practice workflows. By providing advanced tools for practice management and billing, the company enables medical professionals to prioritize patient care. WRS Health focuses on driving operational excellence through automation and dedicated support. As a Medical Billing Representative based in the Philippines, you will be part of an established USA-based organization, working remotely within a collaborative team to ensure the financial accuracy and efficiency of healthcare providers.

Requirements

• The ideal candidate will have one to three years of proven experience in medical billing and collections, along with proficiency in Electronic Medical Record systems.
• A strong understanding of healthcare billing codes, specifically CPT and ICD-10, is essential for successful claims submission.
• Candidates must also be familiar with medical coding, third-party payer operations, and general healthcare collections.
• A working knowledge of HIPAA and PHI confidentiality standards is required to ensure data security.
• We are looking for individuals with excellent communication and interpersonal skills who can effectively engage with providers and documentation teams.
• You should be highly detail-oriented with the ability to maintain consistent financial workflows and must be based in the Philippines, with availability during standard US business hours.

Responsibilities

• In this role, you will be responsible for preparing and submitting clean, accurate claims to insurance companies using electronic systems, mail, or fax.
• You will serve as a point of contact to respond to inquiries from providers, staff, and insurance companies regarding billing concerns, while identifying, troubleshooting, and resolving any billing discrepancies.
• Your duties will include performing collection activities such as follow-ups, claim corrections, and resubmissions to third-party payers.
• You will also process insurance payments, maintain accurate daily deposit records, and generate regular billing and collection reports for management.
• Furthermore, you will be expected to review accounts, recommend next steps for escalation or resolution to the Billing Team Lead, participate in mandatory staff meetings, and strictly uphold patient health information confidentiality in compliance with HIPAA regulations.

Benefits & Perks

• The role offers the opportunity to join a successful and continually growing USA-based company established in 1999.
• Employees will work in a supportive, team-oriented environment with the flexibility of a remote work arrangement.
• This position also provides the chance to make a positive impact on patient care through improved administrative efficiency and includes participation in mandatory monthly staff meetings.