Department: Billing/Revenue Cycle Management

Employment Type: Full-time

Location: Parañaque City - On-site

Reports to: Billing Manager

Job Overview

The Medical Biller / Collections Clerk is responsible for reviewing, executing, and managing billing cycle processes related to Medicare, Medicaid, private payer claims, Notices of Admission (NOAS), remittance processing, accounts receivable follow-up, and billing documentation readiness.

This role supports revenue cycle operations through accurate claim processing, payer compliance review, reimbursement tracking, and timely escalation of billing-related documentation issues impacting claim submission and collections.

The position is focused on billing accuracy, accounts receivable management, payer compliance, and operational billing support within a home health environment.

Key Responsibilities

• Review, process, and submit Medicare, Medicaid, private payer, and patient claims in accordance with payer guidelines and organizational standards
• Perform billing cycle management including claims processing, NOA tracking, remittance posting support, and accounts receivable follow-up
• Enter and validate patient billing data, visit charges, and supply charges within the billing system
• Monitor billing readiness and identify missing, incomplete, or delayed documentation impacting claim submission timelines
• Assist with accounts receivable monitoring, claim resubmissions, collections follow-up, and overdue account escalation
• Maintain accurate billing records, payer analysis reports, remittance documentation, and reimbursement tracking logs
• Monitor Medicare Additional Development Requests (ADR) and escalate concerns requiring management review
• Collaborate with Clinical Operations, Intake, QA, and Billing teams to ensure documentation alignment for reimbursement processing
• Support billing reporting, reconciliation activities, and operational billing audits as required
• Maintain confidentiality of patient, payer, and organizational information in compliance with HIPAA and company policies
• Perform additional billing, collections, and revenue cycle support functions as assigned

Scope of Work

Included:

• Medicare billing
• Medicaid billing
• Private payer billing
• Patient billing
• NOA processing and tracking
• Accounts receivable follow-up
• Claim resubmission workflows
• Remittance processing support
• Billing readiness review
• Billing documentation coordination
• Revenue cycle reporting support

Excluded:

• Direct patient care responsibilities
• Clinical case management functions
• Utilization review responsibilities
• Clinical documentation QA ownership

Required Qualifications

Education

• High school diploma or equivalent required

Associate degree or college-level education preferred

Minimum Required Experience

• Minimum 1-2 years of healthcare billing or collections experience Previous Medicare and/or Medicaid billing experience preferred Home health billing experience strongly preferred
• Experience working with EMR/EHR or healthcare billing platforms preferred
• Familiarity with claims submission, remittance processing, and accounts receivable workflows

Core Skills

• Strong understanding of healthcare billing and reimbursement workflows
• Knowledge of Medicare, Medicaid, and payer-specific billing requirements
• Strong accounts receivable tracking and follow-up skills
• Strong attention to detail and billing accuracy
• Ability to identify documentation gaps impacting reimbursement timelines
• Effective written and verbal communication skills
• Ability to manage multiple billing tasks and submission timelines EMR/EHR and billing system proficiency
• Strong organizational and escalation management skills

Preferred (Not Required)

• Home health or post-acute billing experience
• Familiarity with Medicare home health reimbursement processes
• Experience supporting billing readiness and documentation coordination
• Exposure to ADR review and claims correction workflows
• Experience working within interdisciplinary operational environments

Scope Limitations

• No direct patient care responsibilities
• No clinician supervisory responsibilities
• Role is strictly focused on billing operations, collections support, reimbursement workflows, and revenue cycle coordination
• No independent clinical documentation approval authority