MEDICAL BILLING OUTSOURCING
Logistics Back Office Outsourcing That Keeps Every Shipment MovingMedical Billing Outsourcing to the Philippines, Cleaner Claims and Faster Payments
Maximize revenue collection and reduce claim rejections with pre-vetted Philippine medical billers and certified coders. From eligibility verification and claim submission to A/R follow-ups and denial management, we ensure your healthcare practice maintains an efficient, HIPAA-compliant revenue cycle.
MEDICAL BILLING OUTSOURCING | PHILIPPINES
Medical Billing Outsourcing to the Philippines,
Cleaner Claims and Faster Payments
Dedicated medical billers, coders and AR specialists who work inside your practice software and care about every claim as much as you do. Built for Australian and US practices, clinics and billing companies that want healthier cash flow at up to 70% below the cost of a local billing team.
- HIPAA-aligned processes
- Medicare and MBS billing
- You own every claim and record
SERVING HEALTHCARE PROVIDERS IN
- 🇦🇺 Australia
- 🇺🇸 United States
- 🇵🇭 Philippines (delivery hub)
WHY THE PHILIPPINES FOR MEDICAL BILLING
Why Australian and US healthcare providers trust the Philippines with their medical billing
Every rejected claim and every invoice left sitting in AR is revenue your practice has already earned. The Philippines has spent decades supporting Western healthcare, and its billing professionals bring clinical understanding, meticulous attention to detail and fluent English to the work, at a cost that lets you invest more back into patient care.
Lower Than Local Hiring
A full-time Philippines-based medical biller typically costs 50 to 70% less than an equivalent hire in Australia or the US once salary, superannuation or benefits, payroll tax, leave, software and desk costs are included. More of every dollar you bill stays with your practice.
Clinical Backgrounds
The Philippines is one of the world’s largest sources of nursing and allied health graduates, and many medical billers and coders come from these fields. They understand diagnoses, procedures and clinical notes, which makes coding more accurate and queries more informed.
IT and BPM Professionals
Healthcare outsourcing is one of the most mature service lines in the Philippine IT and BPM industry, which employs around 1.8 million people. That depth means experienced billers who already know your payers, platforms and workflows.
A Clock That Works for You
Manila shares most of the working day with Australian practices for real-time support. For US providers, night shift billers work your business hours, or process the day’s charges overnight so claims are out the door before your first patient arrives.
END-TO-END REVENUE CYCLE
Every step from patient visit to payment, handled with care
Outsource one stage of your billing or the entire revenue cycle. Your Philippine team plugs into the steps where you need help most and keeps every claim moving until it is paid.
01
Eligibility and Verification
Coverage, benefits and referrals confirmed before the visit.
02
Coding and Charge Entry
Accurate codes and charges entered from clinical notes.
03
Claim Submission
Clean claims scrubbed and lodged to every payer.
04
Payment Posting
Remittances and gap payments reconciled to the cent.
05
Denials and AR
Rejections corrected, appealed and followed up fast.
06
Reporting
Clear insight into collections, AR and payer trends.
- Works inside your existing software
- Follows your payer rules and SLAs
- Your team keeps final approval
MEDICAL BILLING SERVICES
Medical billing outsourcing services we deliver from the Philippines
We build dedicated billing teams for medical practices, specialist clinics, allied health providers and billing companies. Every team member works exclusively for you, inside your practice management system, following your payer rules, fee schedules and privacy obligations.
Eligibility and Benefits Verification
Before a patient walks in, your team confirms insurance coverage, benefits, referrals and prior authorisations, so surprises at the front desk and preventable denials become a thing of the past.
- Insurance Verification
- Prior Authorisations
- Referral Checks
- Medicare Eligibility
Medical Coding and Charge Entry
Experienced coders translate clinical documentation into accurate CPT, ICD-10-CM and HCPCS codes for US providers, and correct MBS item numbers for Australian practices, with charges entered promptly and consistently.
- CPT and ICD-10-CM
- HCPCS
- MBS Item Numbers
- Charge Capture
Claims Submission and Lodgement
Claims are scrubbed, checked against payer rules and submitted electronically to Medicare, Medicaid and commercial insurers in the US, or lodged to Medicare Australia, DVA and private health funds in Australia.
- Clean Claim Scrubbing
- Medicare and Medicaid
- Bulk Billing and DVA
- Private Health Funds
Payment Posting and Reconciliation
ERAs, EOBs and remittance advice are posted accurately, gap payments and patient balances are reconciled, and discrepancies are flagged early so your books always reflect what has really been collected.
- ERA and EOB Posting
- Remittance Matching
- Gap Payments
- Reconciliation
Denial Management and AR Follow-up
Your team works every rejection and aged claim with persistence: identifying the root cause, correcting and resubmitting, writing appeals and following up with payers until the money is in your account.
- Denial Analysis
- Appeals
- Aged AR Recovery
- Payer Follow-up
Patient Billing and Credentialing
Friendly, clear patient statements and billing enquiries that protect your reputation, plus provider credentialing and payer enrolment support so new clinicians can start billing without delay.
- Patient Statements
- Billing Enquiries
- Provider Credentialing
- Payer Enrolment
HOW IT WORKS
How we build your offshore medical billing team
Moving billing work offshore should feel safe, not risky. With UpraisIT, the transition is structured, secure and carefully supervised, so your claims keep flowing from the very first week.
Revenue Cycle Review
We start by understanding your practice: specialties, payer mix, claim volumes, software, current AR and where revenue is leaking. Together we decide which stages of the cycle your offshore team will own.
Specialist Selection
We shortlist billers and coders with experience in your market and specialty. Every candidate passes a billing and coding assessment, an English assessment and a background check. You interview and choose.
Secure Setup and Training
Access is set up with individual logins, multi-factor authentication and the minimum permissions needed. Your team is trained on your fee schedules, payer rules and procedures, and signs confidentiality agreements and BAAs where required.
Go Live with Ongoing QA
Your billers go live with close supervision, followed by regular accuracy audits, clear KPI reporting and monthly reviews with your practice manager. You see exactly how your revenue cycle is improving.
TIMEZONE COVERAGE FOR AU AND US
Billing support that keeps pace with your practice
Philippine Standard Time (UTC+8) is a natural fit for Australian practices. Your billers work a day shift that overlaps with your clinic, answering questions, verifying patients and lodging claims while your doctors are still seeing them.
US providers can choose a night shift that mirrors their business hours, or an overnight model where the day’s charges are coded and submitted while you sleep, so every morning starts with a clean slate.
CLIENT CITY
9AM TO 5PM EQUALS (MANILA)
SHIFT MODEL
🇦🇺 Sydney (AEDT)
6am to 2pm
Day shift
🇦🇺 Melbourne (AEDT)
6am to 2pm
Day shift
🇦🇺 Brisbane (AEST)
7am to 3pm
Day shift
🇦🇺 Perth (AWST)
9am to 5pm
Same hours
🇺🇸 New York (EST)
10pm to 6am
Night shift
🇺🇸 Los Angeles (PST)
1am to 9am
Night shift
Times shift by one hour when daylight saving starts or ends in your city.
IN-HOUSE BILLING VS OFFSHORE TEAM
Why practices choose medical billing outsourcing in the Philippines
Billing staff are hard to find, expensive to keep and impossible to replace overnight. When one person leaves, claims stall and AR quietly grows. A dedicated Philippine billing team gives you steady, expert hands on your revenue cycle at a fraction of the cost.
Local In-House Billing Staff
- Typical salaries of A$60,000+ or US$48,000+ per biller before super, benefits and payroll tax
- One resignation or sick week can leave claims unsubmitted and AR climbing
- Doctors and practice managers pulled into billing instead of patient care
- Coding expertise is costly to hire and hard to keep current
- Percentage-based billing companies take a cut of every dollar collected
Dedicated Philippine Billing Team via UpraisIT
- Up to 70% lower total cost, on one predictable monthly invoice
- Documented processes and backup cover so claims never stall
- Clinicians freed to focus fully on their patients
- Billers and coders with real healthcare experience
- Flat monthly rate, never a percentage of your collections
SOFTWARE AND SPECIALTIES
Fluent in your software, experienced in your specialty
Our billers and coders work in the practice management, EHR and claiming platforms Australian and US providers rely on, and are matched to your specialty so they understand your procedures, codes and payer quirks from the first week.
- 🛠 Best Practice
- 🛠 MedicalDirector
- 🛠 Genie
- 🛠 Cliniko
- 🛠 Halaxy
- 🛠 Tyro Health
- 🛠 athenahealth
- 🛠 eClinicalWorks
- 🛠 AdvancedMD
- 🛠 Kareo / Tebra
- 🛠 NextGen
- 🛠 Availity
- 🩺 General Practice
- 🦠 Specialist Clinics
- 🦷 Dental
- 🦾 Physiotherapy and Allied Health
- 🧠 Mental Health and Psychology
- 👁 Radiology and Imaging
- 🏥 Day Surgeries and Hospitals
- 💼 Medical Billing Companies
COMMON QUESTIONS
What providers ask before outsourcing medical billing to the Philippines
Cost depends on the roles, experience level and team size. Most Australian and US providers save 50 to 70% compared with hiring equivalent local billing staff. You pay one flat monthly rate per team member covering salary, benefits, equipment, workspace, payroll, HR and account management, never a percentage of your collections.
For US providers, our team works under a Business Associate Agreement with HIPAA-aligned safeguards: individual logins, multi-factor authentication, minimum necessary access, secure workspaces and confidentiality agreements. Protected health information stays inside your own systems rather than on local devices.
Our processes are designed around the Australian Privacy Principles and the Philippine Data Privacy Act. Your billers access only the records they need through your practice software, every team member signs confidentiality agreements, and you control and can revoke access at any time.
Yes. We match candidates to your market. Australian-focused billers work with MBS item numbers, bulk billing, DVA and private health fund claiming. US-focused billers and coders work with CPT, ICD-10-CM and HCPCS codes, Medicare, Medicaid and commercial payer requirements, and many hold AAPC credentials.
Always. Your billing team works inside your existing software, follows your procedures and reports to your practice manager. You set approval rules for write-offs, refunds and patient payment plans, and receive regular reports on collections, denials and AR.
Most practices receive a shortlist of experienced billers within about a week and have their team working live claims within two weeks of sign-off. You can add coders, AR specialists or credentialing support as your practice grows.
Get paid faster for the care you already provide
Talk to our team about your claim volumes, payer mix, software and AR, and see what a dedicated Philippine medical billing team would cost for your practice. No obligation, no pressure, and an honest answer on whether it is the right fit.
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Who We've Worked With
