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WRS Health

Medical Billing Representative

Posted 22 days ago
2-5 years experience
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AI Summary

The Medical Billing Representative manages insurance claim submissions, payment processing, and the resolution of billing discrepancies. They are responsible for maintaining accurate revenue cycle operations while ensuring full compliance with HIPAA regulations.

Company Overview

Voted #1 EHR by PC Mag, WRS Health delivers a fully integrated cloud based EMR and practice management solutions to its clients. We bring solutions to physicians by providing constant enhancement of our products and services including EHR, practice management, marketing, patient coordination and billing.

Job Purpose and Role

We are hiring a Medical Biller / Billing Representative to manage insurance claim submissions, payment processing, and billing issue resolution. This role plays a key part in ensuring accurate and timely revenue cycle operations while maintaining compliance with industry standards, including HIPAA.

Job Duties and Responsibilities

  • Prepare and submit clean, accurate claims to insurance companies via electronic systems, mail, or fax.
  • Respond to inquiries from providers, staff, and insurance companies regarding billing concerns.
  • Identify, troubleshoot, and resolve billing discrepancies or complaints.
  • Review accounts and recommend next steps to the Billing Team Lead for resolution or escalation.
  • Perform collection activities including follow-ups, claim corrections, and resubmissions to third-party payers.
  • Process insurance payments and maintain accurate daily deposit records.
  • Generate and maintain daily, weekly, and monthly billing and collection reports.
  • Participate in mandatory monthly staff meetings.
  • Maintain strict confidentiality of patient health information and ensure full compliance with HIPAA regulations.

Qualifications

  • 1–3 years of proven experience in medical billing and collections.
  • Proficiency in Electronic Medical Record (EMR) systems.
  • Strong understanding of healthcare billing codes (CPT, ICD-10) and claims submission procedures.
  • Familiarity with medical coding, third-party payer operations, and healthcare collections.
  • Working knowledge of HIPAA and PHI confidentiality standards.
  • High attention to detail and ability to create consistent financial workflows.
  • Excellent communication skills for engaging with providers, staff, and documentation teams.
  • Strong interpersonal skills and ability to thrive in a collaborative team environment.

Location: Philippines - Remote

Hours:  Available during standard US business hours (9am-5pm EST or 8:30am-4:30pm EST)

This job description is intended to describe the general requirements for the position.  It is not a complete statement of duties, responsibilities or requirements.  Other duties not listed here may be assigned as necessary to ensure proper operations of the department


 

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