Medical Biller & Collections Specialist - Freelance, Remote
Dubai, UAE/Dubai
Listed on 2025-11-12
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Healthcare
Healthcare Administration, Medical Billing and Coding
Medical Biller & Collections Specialist – Freelance, Remote
Magic Global Village, Dubai, United Arab Emirates
About the ClientA nationally focused clinical specialty pharmacy that provides home infusion, specialty and compounding services with a strong emphasis on personalized, community‑based care. The organization is accredited and operates with rigorous compliance and HIPAA standards while serving multiple states. They prioritize timely authorizations, clinical support, and high‑quality billing/reimbursement practices to ensure patients receive home‑based infusion therapies.
Why This Role ExistsThis role exists to accelerate and stabilize revenue collection for home infusion services by managing insurance‑side billing and out‑of‑network claim recoveries. The specialist will reduce accounts receivable backlog, resolve denials and underpayments, and negotiate reimbursements with payers so clinical teams can focus on patient care. Hiring this specialist ensures compliant, efficient collections and improved cash flow for infusion services.
Key Impact- Accounts Receivable Management
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Monitor and manage patient and insurance accounts to ensure timely collection of outstanding balances, review unpaid or partially paid claims, maintain accurate aging trackers, and prioritize high‑risk accounts. - Billing and Documentation
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Review claims for completeness and payer compliance before resubmission, ensure accurate posting of payments and adjustments, and maintain detailed records of collection activities. - Out‑of‑Network Claims Management
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Verify coverage and eligibility, obtain necessary authorizations, negotiate payment terms with insurance companies, and coordinate with internal teams on patient responsibility. - Dispute Resolution & Denial Management
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Investigate claim denials or underpayments, obtain supporting documentation, submit appeals, collaborate with staff and payer representatives, and track denial reasons to recommend process improvements. - Reporting & Compliance
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Prepare regular AR, aging, and collections activity reports, analyze trends, and suggest optimizations while ensuring compliance with HIPAA, payer policies, and internal best practices.
- Proven experience in medical billing and collections with direct experience managing out‑of‑network claims (home infusion pharmacy experience preferred).
- Strong knowledge of CPT and ICD‑10 coding and payer requirements for infusion services.
- Proficiency with Caretend and CPR Plus (or equivalent billing systems) and strong Excel skills.
- Demonstrated experience negotiating with insurance companies and resolving denials/underpayments.
- Ability to work Monday–Friday, 9:00 AM–5:00 PM PST (40 hours/week) and maintain a HIPAA‑compliant remote workspace.
- WFH Set‑Up Requirements:
- Computer with at least 8GB RAM, an Intel i5 core processor/AMD Ryzen 5 Processor or higher.
- Internet speed of at least 40 Mbps.
- Headset with an extended mic that has noise cancellation and a webcam.
- Back‑up computer and internet connection.
- Quiet, dedicated workspace at home.
- Deep knowledge of medical billing workflows, claims submission, appeals, and payer negotiations.
- Proficient with Caretend, CPR Plus, MS Excel, Word, and Google Workspace.
- Familiarity with coding (CPT, ICD‑10) and payer‑specific documentation requirements.
- Excellent negotiation and written communication skills focused on insurer interactions.
- High attention to detail, organization, and ability to manage competing priorities.
- Problem‑solver mindset and persistence in follow‑up to drive collections.
- Integrity and strict adherence to HIPAA and privacy regulations.
- You enjoy investigative work and are motivated by resolving denials and recovering revenue.
- You are self‑directed, reliable on a consistent PST schedule, and comfortable working remotely.
- You value compliance, clear documentation, and collaborative problem solving with clinical and operational teams.
- You’re patient, persistent, and able to negotiate professionally with payers without escalating to clinical teams unnecessarily.
- Remote position.
- Must have a reliable internet connection and a quiet workspace.
- Required to provide own computer with Intel Core i5 or similar high‑performance system.
- 40 hours per week.
- Monday–Friday, 9:00 AM–5:00 PM Pacific Time.
- $9 per hour.
- No benefits package included.
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