Medical Billing Specialist

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: TYPE OF WORK

Full Time

: WAGE / SALARY

$6-8/hour

: HOURS PER WEEK

40

: DATE UPDATED

May 26, 2026

JOB OVERVIEW

We are hiring a full?time Medical Billing Specialist based in the Philippines to support our behavioral health billing operations. This role requires strong experience with Medicaid billing, especially Maryland Medicaid, and hands?on skills in Carelon, CollaborateMD, and payer portals such as ProviderConnect.

You will handle full?cycle billing, including payment posting, claims submission, AR follow?up, and denial management. This is a long?term position with stable U.S. hours.

Responsibilities:
-Submit claims through CollaborateMD and payer portals
-Ensure compliance with Maryland Medicaid and MCO requirements
-Correct, void, and resubmit claims as needed
-Resolve rejections and pended claims
-Post ERAs/EOBs accurately into CollaborateMD
-Reconcile payments, adjustments, and patient responsibility
-Identify underpayments and discrepancies
-Conduct daily AR follow?up on unpaid/aging claims
-Reduce outstanding balances and meet AR targets
-Identify duplicate claims, billing errors, and trends
-Review denial codes (CO?18, CO?97, etc.)
-Submit appeals with supporting documentation
-Communicate with Medicaid MCOs to resolve issues

Work daily in:
-Carelon (auths, eligibility, claim status)
-CollaborateMD (billing, AR, posting)
-ProviderConnect (eligibility, claims, documentation)

Maintain accurate internal notes and documentation

Qualifications:
-2+ years medical billing experience
-Strong Medicaid experience (Maryland Medicaid preferred)
-Experience with Carelon, CollaborateMD, and/or ProviderConnect

Skilled in:
-Payment posting
-Claims follow?up
-Denials management
-AR cleanup
-Excellent English communication
-Ability to work U.S. Eastern Time
-Reliable internet
-High accuracy and attention to detail

Preferred Qualifications:
-Behavioral health billing experience
-Experience identifying duplicate claims and resolving Medicaid denials

SKILL REQUIREMENT

Claims Processing Revenue Cycle Management Denial Management

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Medical Billing Specialist

Please login or register as jobseeker to apply for this job.

TYPE OF WORK

WAGE / SALARY

HOURS PER WEEK

DATE UPDATED

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