We are seeking a detail-orientedBiller/AR Specialistwith solid experience inhospital billingand managing claims acrossall payers—commercial and government. The ideal candidate has hands-on expertise withOptum/Change Healthcare Billing SystemsandCerner, bringing at least2–3 years of proven billing and AR experience.
This role is crucial in ensuring accurate claim submission, timely reimbursements, and reducing denials, all while keeping the revenue cycle flowing smoothly.
Key Responsibilities
• Prepare, review, and submit claims to insurance payers (commercial and government).
• Work withOptum/Change Healthcare Billing Systemto ensure accurate billing processes.
• UtilizeCernerfor patient account management and charge entry.
• Review claims for accuracy and compliance before submission.
• Research and resolve payer rejections, denials, and underpayments.
• Follow up on outstanding AR balances to ensure timely collections.
• Maintain current knowledge of payer requirements, regulations, and billing guidelines.
• Collaborate with hospital staff and other departments for claim resolutions.
• 2–3 yearsof experience in hospital billing and accounts receivable.
• Strong knowledge ofall payers (commercial and government insurance programs).
• Hands-on experience withOptum/Change Healthcare Billing SystemsandCerner.
• Excellent attention to detail and problem-solving skills.
• Ability to work independently and manage multiple priorities.
• Strong communication and collaboration skills.
• Amenable to work during U.S. business working hours.
Work-from-Home Device Requirement:
• Device:Personal computer withIntel Core i5 or higher, orAMD Ryzen 5 or higher
• Internet:Wired connectionwith at least50 Mbpsdownload speed, plus abackup connection(e.g., mobile hotspot or prepaid Wi-Fi)
• Work Environment:Quiet, well-lit spacewithminimal background noise
• Permanent Work From Home
• Weekly Paychecks
• Fixed Weekends Off
• HMO Reimbursement on your 90th day
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary
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Who are we?
MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We specialize in connecting top clinical and administrative talent with reputable healthcare organizations, ensuring high-quality care delivery while providing rewarding work-from-home careers.
Why work forBizforce?
Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.
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Salary: USD 36000 - 60000 per year
Experience: 3 years required