Senior Medical Billing Specialist – Primary Care

Winning Assistants LLC

. Prepare, review, submit, and track medical claims for multiple U.S.

Posted 10/17/2026full-timeRemote • PhilippinesSenior💰 $14,560 - $16,640 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in U.S. medical billing, including proficiency in ICD-10, CPT, HCPCS, and E/M billing guidelines. Capable of managing a team, developing training materials, and ensuring compliance with billing processes and regulations.

Highest-signal resume keywords

U.S. Medical Billing ExperienceICD-10, CPT, HCPCS, E/M Billing GuidelinesTeam Management and SupervisionAccounts Receivable and Denials ManagementEHR/EMR Systems Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Claims PreparationBilling Workflow ManagementPayer-Specific Billing RequirementsClinical Documentation ReviewCompliance Checks and Risk Mitigation

Soft Skills

Excellent Written and Verbal CommunicationCoaching and Feedback ProvisionCollaboration with Providers and Staff

Tools & Technologies

EHR/EMR SystemsPractice Management SoftwareElectronic Claims Submission SystemsClaims TrackersBilling Reports

Certifications & Qualifications

NBI ClearanceLocal Police Clearance

Industry Keywords

Primary Care Medical BillingRevenue Cycle PerformanceInsurance AppealsPatient ConfidentialityBilling Compliance

About the role

Key responsibilities & impact

Prepare, review, submit, and track medical claims for multiple U.S. primary care providers
Apply ICD-10, CPT, HCPCS, and E/M billing concepts to identify billing errors and coding discrepancies
Investigate rejected, denied, pending, downcoded, or unpaid claims and oversee corrections, resubmissions, appeals, and follow-ups
Verify patient insurance eligibility, coverage, and benefits
Oversee accounts receivable, outstanding balances, underpayments, denials, rejections, and payment discrepancies
Review clinical documentation for billing accuracy, completeness, and compliance
Coordinate with providers and internal staff to resolve documentation discrepancies
Directly manage, supervise, and support a team of medical billing associates
Assign and prioritize billing responsibilities and monitor team performance
Provide coaching, guidance, and constructive feedback
Develop and maintain standard operating procedures, training materials, and onboarding guides
Prepare daily progress reports, billing updates, backlog summaries, and follow-up plans
Communicate billing concerns, workflow challenges, and reimbursement risks to management
Collaborate with providers, management, insurance representatives, and internal staff
Improve billing workflows, accuracy, compliance, and revenue cycle performance

Requirements

What you’ll need

At least 3 years of proven, hands-on U.S. medical billing experience (mandatory)
Extensive experience in U.S. primary care medical billing (mandatory)
Strong knowledge of primary care diagnoses, medical billing workflows, and reimbursement processes
Advanced working knowledge of ICD-10, CPT, HCPCS, and E/M billing guidelines
Experience preparing, reviewing, submitting, and tracking electronic medical claims
Strong understanding of payer-specific billing requirements and timely filing deadlines
Hands-on experience with accounts receivable, denials, rejections, downcoding, insurance appeals, and payer follow-ups
Proven experience directly managing, supervising, or leading a team of medical billing associates (mandatory)
Experience creating, maintaining, and updating departmental SOPs
Ability to develop training materials, onboarding resources, and staff development processes
Strong understanding of clinical documentation requirements for primary care billing
Knowledge of billing-related compliance checks, risk mitigation, and escalation procedures
Strong understanding of HIPAA and patient confidentiality requirements
Proficiency with EHR/EMR systems, practice management software, and medical billing platforms
Experience using electronic claims submission systems, clearinghouses, and insurance portals
Strong proficiency with spreadsheets, claims trackers, billing reports, and productivity monitoring tools
Excellent written and verbal English communication skills
Must be able to submit an NBI Clearance and/or Local Police Clearance before onboarding (mandatory)
Must be available for video meetings with camera on when required
Must be available to work full-time, Monday through Friday, from 9:00 AM to 6:00 PM Eastern Time
Reliable laptop or desktop computer
Stable high-speed internet connection, minimum 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 (paid time off optional and only if offered by the client)
Access to Tools & Resources
Optional Performance-Based Incentives
Optional bonuses, incentives, or increased hours based on performance