Medical Biller, RCM, Authorizations & Verification Specialist

Staffing For Doctors

. Verify patient insurance coverage, active policy status, copays, deductibles, coinsurance, and maximum benefit limits before service delivery .

Posted 10/10/2026full-timeRemote • PhilippinesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in U.S. Medical Billing and Revenue Cycle Management, including insurance verification, Letters of Authorization, and compliance with HIPAA regulations. Proficient in utilizing EHR/Practice Management systems to manage patient financial interactions and documentation.

Highest-signal resume keywords

U.S. Medical Billing ExperienceInsurance Verification ExpertiseRevenue Cycle Management (RCM)EHR/Practice Management Systems FamiliarityHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance VerificationCharge EntryClaim SubmissionPayment PostingAccounts Receivable ManagementLetters of Authorization (LOAs)Letters of Intent (LOIs)Calculating Maximum BenefitsPre-Authorization TrackingMedical Necessity Documentation

Soft Skills

Professional CommunicationWritten and Spoken English Proficiency

Tools & Technologies

EpicAthenahealthEClinicalWorksKareoClearinghouse Portals

Industry Keywords

Revenue Cycle ManagementHIPAA CompliancePatient Financial ClearanceInsurance PayersMedical Billing

About the role

Key responsibilities & impact

Verify patient insurance coverage, active policy status, copays, deductibles, coinsurance, and maximum benefit limits before service delivery
Initiate, track, and follow up on Letters of Authorization (LOAs) and pre-authorizations with insurance payers
Draft, compile, and submit Letters of Intent / Medical Necessity (LOIs) with clinical documentation
Support appeals, gap-in-network exceptions, and specialized treatments
Handle full-cycle Revenue Cycle Management tasks, including charge entry, claim submission, payment posting, and accounts receivable follow-ups or denials
Maintain records of payer interactions, authorization numbers, and patient financial clearances in EHR/Practice Management systems
Maintain strict HIPAA compliance

Requirements

What you’ll need

Minimum of 2–3+ years of hands-on experience in U.S. Medical Billing, Medical Virtual Assisting, or RCM roles
Proven expertise in insurance verification, calculating/tracking maximum benefits, and securing LOAs and LOIs
Familiarity with major U.S. EHR/PM platforms (e.g., Epic, Athenahealth, eClinicalWorks, Kareo, or similar systems) and clearinghouse portals
Excellent written and spoken English
Confidence communicating professionally with U.S.-based insurance providers, patients, and internal team members
Reliable high-speed internet connection (minimum 25+ Mbps)
Quiet, secure, HIPAA-compliant home office workspace