Medical Billing and Coding

• Prepare, scrub, and submit clean claims to primary and secondary insurance payers via ChiroTouch
• Review rejected or denied claims and investigate root causes
• Post EOBs/ERA adjustments and submit appeals in a timely manner
• Handle incoming patient billing questions and outgoing calls using Intermedia VOIP
• Confirm chiropractic coverage, copays, deductibles, and pre-authorization requirements
• Assist with routine practice administration and patient chart maintenance
• Coordinate communication across front- and back-office teams

Medical Billing Specialist – Chiropractic Practice

• 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

Medical Billing & RCM Specialist

• Apply accurate ICD-10, CPT, and HCPCS codes based on documentation and services rendered
• Ensure proper code sequencing, modifiers, and compliance with payer and regulatory guidelines
• Review and correct coding-related errors, denials, or rejected claims
• Complete appropriate documentation or system entries regarding claims
• Abstract additional data elements during the Chart Review process
• Review patient medical records and clinical documentation
• Identify incomplete or missing documentation and coordinate provider queries
• Stay updated with coding rules, payer policies, and healthcare regulations
• Support clean claim submission and billing accuracy
• Coordinate with Billing, AR, and Authorization teams
• Maintain productivity and accuracy standards
• Support audit and compliance activities
• Participate in internal and client quality audits/reviews
• Train, coach, and guide billers to ensure accurate coding and billing processes
• Remain current on medical coding, billing guidelines, and auditing protocols
• Follow team and/or client procedures, policies, and methodologies

Medical Coder

• Track and manage accounts receivable, ensuring aging amounts remain within targeted levels
• Regularly check submitted claims to ensure timely processing and payment
• Resubmit claims for appeal as necessary and resolve issues delaying payment
• Prepare and send patient statements accurately and timely
• Conduct patient collection phone calls and negotiate payment arrangements
• Respond to patient and payer email and phone inquiries
• Accept and accurately process phone payments from patients
• Monitor denial trends and provide timely, accurate resolutions
• Handle complex denials and appeals
• Use collection strategies to optimize reimbursement on delinquent accounts
• Follow team and client procedures, policies, and methodologies
• Perform other related duties as assigned

Medical Billing Collections Consultant

• Apply accurate ICD-10, CPT, and HCPCS codes based on documentation and services rendered
• Ensure proper code sequencing, modifiers, and compliance with payer and regulatory guidelines
• Review and correct coding-related errors, denials, or rejected claims
• Complete appropriate documentation or system entries regarding claims
• Abstract additional data elements during chart review when coding
• Review patient medical records and clinical documentation
• Identify incomplete or missing documentation and coordinate provider queries
• Stay updated with coding rules, payer policies, and healthcare regulations
• Support clean claim submission and billing accuracy
• Coordinate with Billing, AR, and Authorization teams
• Maintain productivity and accuracy standards
• Support audit and compliance activities
• Participate in internal and client quality audits/reviews
• Train, coach, and guide billers to ensure accurate coding and billing processes
• Remain current on medical coding, billing guidelines, and auditing protocols
• Follow team and/or client procedures, policies, and methodologies

• Organize workflow and ensure team members understand their duties or delegated tasks
• Monitor employee productivity and provide constructive feedback and coaching
• Receive complaints and resolve client problems
• Ensure adherence to legal company policies and coordinate with HR on disciplinary actions
• Organize and oversee team schedules and work
• Conduct timely and constructive performance evaluations
• Monitor trackers and quota reports
• Assure timely submission of claims
• Formulate and execute strategies to mitigate claim denials
• Learn and implement specialty-, state-, and carrier-specific billing requirements

Medical Billing Supervisor

• Perform accurate coding of medical terms and medications using MedDRA, WHO Drug, and company standards
• Coordinate assignment of appropriate dictionaries to meet study requirements
• Develop and maintain coding guidelines
• Review and provide input to the Coding section of the Data Management Plan
• Perform dictionary up-versioning and synonym list upgrade activities
• Validate and test coding setup and programming of coding reports
• Test databases, edit specifications, or related programming activities as needed
• Conduct data review
• Write and resolve data clarifications
• Comply with core operating procedures and work instructions
• Perform other duties as directed by the Lead Data Manager
• Meet assigned objectives
• Develop and maintain good communications and working relationships with the Data Management team

Medical Billing and Coding jobs in Philippines

Medical Billing Specialist – Chiropractic Practice

Medical Billing & RCM Specialist

Medical Coder

Medical Billing Collections Consultant

Medical Coder

Medical Billing Supervisor

Clinical Data Coder