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TYPE OF WORK
Full Time
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SALARY
$6-8/hour
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HOURS PER WEEK
40
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DATE UPDATED
Jul 7, 2026
We are hiring a full-time Medical Billing Specialist based in the Philippines to support our behavioral health and FQHC billing operations. This role requires strong experience with FQHC billing, Medicaid, hands-on skills in Epic, and HCN billing workflows.
You will manage full-cycle billing, including claims submission, payment posting, AR follow?up, and denial resolution. This is a long-term position with stable U.S. hours.
Responsibilities
-Submit claims through Epic, clearinghouses, and payer portals
-Ensure compliance with Medicaid and MCO billing requirements
-Correct, void, and resubmit claims as needed
-Resolve rejections, pended claims, and clearinghouse edits
-Post ERAs/EOBs accurately into Epic
-Reconcile payments, adjustments, and patient responsibility
-Identify underpayments, missing payments, and payer discrepancies
-Conduct daily AR follow?up on unpaid/aging claims
-Reduce outstanding balances and meet AR performance targets
-Identify duplicate claims, billing errors, and recurring denial trends
-Review denial codes (CO?18, CO?97, etc.)
-Submit appeals with supporting documentation
-Communicate with Medicaid and commercial payers to resolve issues
Systems Worked In Daily
-Epic (billing, AR, payment posting, claim edits)
-HCN (FQHC billing workflows, encounters, claim edits)
-Availity (eligibility, claim status, attachments)
-Medicaid/MCO portals (eligibility, claims, documentation)
-Maintain accurate internal notes, documentation, and follow?up logs.
Qualifications
-2+ years of medical billing experience
-Strong Medicaid experience (FQHC experience highly preferred)
Required: Hands-on experience with HCN
Required: Epic billing experience
Experience with Availity and payer portals
Skills Required
-Payment posting
-Claims follow?up
-Denials management
-AR cleanup and aging reduction
-Excellent English communication
-Ability to work U.S. Eastern Time
-Reliable internet connection
-High accuracy and attention to detail
Preferred Qualifications
-Behavioral health or FQHC billing experience
-Experience identifying duplicate claims and resolving Medicaid denials
