Medical Billing & RCM Specialist

Winning Assistants LLC

. Manage day-to-day medical billing and Revenue Cycle Management (RCM) .

Posted 10/2/2026full-timeRemote • PhilippinesMid-LevelSenior💰 $10,400 - $12,480 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in Medical Billing and Revenue Cycle Management (RCM), with a strong focus on claims processing, insurance verification, and compliance with HIPAA regulations. Proficient in utilizing tools like Office Ally and managing multiple claims efficiently while maintaining accurate documentation.

Highest-signal resume keywords

Medical Billing ExperienceRevenue Cycle Management (RCM)Claims ProcessingInsurance VerificationHIPAA Compliance

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical BillingRevenue Cycle Management (RCM)Claims SubmissionDenial ResolutionInsurance VerificationPrior AuthorizationEHR SystemsPractice Management SystemsOptum ExperienceInsurance Portals

Soft Skills

Attention to DetailOrganizationProblem-SolvingWritten CommunicationVerbal Communication

Tools & Technologies

Office AllyInsurance PortalsClearinghousesSpreadsheetsShared Drives

Certifications & Qualifications

HIPAA Compliance Certification

Industry Keywords

U.S. Healthcare ExperienceClaims DenialsRejectionsUnpaid ClaimsSOPsRemote Work Experience

About the role

Key responsibilities & impact

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
Maintain accurate patient, billing, insurance, referral, and authorization records
Use Office Ally, 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
Follow established SOPs and workflows while maintaining HIPAA compliance

Requirements

What you’ll need

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
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
Reliable laptop or desktop computer
Stable high-speed internet connection of at least 25 Mbps
Noise-canceling headset
Working webcam
Quiet and professional work environment

Benefits

Comp & perks

Dedicated HR & Contractor Support Team
Premium VPN Access (Optional)
HIPAA & Cybersecurity Training + Certification (Provided)
Top 1% VA Performance Training
Client-Approved U.S. Holidays
Client-Approved Paid or Unpaid Time Off
Access to Tools & Resources
Optional Performance-Based Incentives
Independent contractor perks and client-approved allowances