job description
Are you a detail-oriented healthcare professional looking to make a meaningful impact in the US medical billing industry? HGS Offshore Staffing Solutions is seeking a Medical Biller / Claims Processor to join our dynamic team in Bali, Indonesia. This is your chance to work with a leading global provider of healthcare revenue cycle management services while enjoying the flexibility of a remote role in paradise.
In this role, youāll play a critical part in ensuring accurate and timely processing of medical claims, resolving discrepancies, and maintaining compliance with US healthcare regulations. Your expertise will directly contribute to improving patient care and financial efficiency for our US-based clients.
If you thrive in a fast-paced environment, have a passion for healthcare administration, and want to grow your career with an internationally recognized company, weād love to hear from you!
Responsibility
- Process and submit medical claims to insurance companies and government programs (e.g., Medicare, Medicaid) in compliance with US healthcare standards.
- Review and verify patient information, insurance details, and medical codes (CPT, ICD-10, HCPCS) for accuracy.
- Identify and resolve claim denials, rejections, or discrepancies by coordinating with providers, payers, and patients.
- Follow up on unpaid or pending claims, ensuring timely reimbursement and minimizing revenue loss.
- Maintain up-to-date knowledge of US healthcare billing regulations, payer policies, and industry best practices.
- Generate and analyze reports on claims status, aging accounts, and billing performance to support decision-making.
- Collaborate with cross-functional teams to streamline billing processes and improve efficiency.
- Provide exceptional customer service to internal and external stakeholders regarding billing inquiries.
Qualifications
- Minimum 2+ years of experience in medical billing, claims processing, or healthcare revenue cycle management (US market preferred).
- Proficiency in medical coding systems (CPT, ICD-10, HCPCS) and familiarity with billing software (e.g., Epic, Meditech, or similar).
- Strong understanding of US healthcare insurance (HMO, PPO, Medicare, Medicaid) and claims submission processes.
- Excellent attention to detail and analytical skills to identify and resolve billing discrepancies.
- Superb communication skills (written and verbal) in English to liaise with US clients and teams.
- Ability to work independently in a remote setting while meeting deadlines and performance targets.
- Certifications such as CPC (Certified Professional Coder) or CPB (Certified Professional Biller) are a plus.
- High school diploma or equivalent; associateās or bachelorās degree in Healthcare Administration, Business, or related field is advantageous.