To make the world better through outsourcing!
Medical Billing
Location
Philippines
Posted
108 days ago
Salary
0
Seniority
Senior
Job Description
Medical Billing
Outsourcey
• Join Outsourcey and be part of our mission to revolutionize global talent expansion! • Prepare, scrub, submit, and track behavioral health and substance use claims; follow up proactively on rejections, denials, and underpayments through payer portals and calls. • Provide clear claim status updates to internal stakeholders; research issues, correct errors, and resubmit or appeal as needed to keep A/R moving. • Verify eligibility and benefits for mental health and SUD services, confirm coverage details, and document payer requirements prior to service. • Initiate, obtain, and track prior authorizations; coordinate required clinical/ administrative details with facilities and payer reps to prevent claim delays. • Coordinate and communicate with facilities and payers; speak with clients regarding insurance questions and what is needed to support billing and reimbursement. • Use Kipu EMR to manage patient billing workflows, documentation touchpoints, and records support; complete related admin work as a medical virtual assistant to keep provider operations organized.
Job Requirements
- Background in medical billing or healthcare administration supporting claims, insurance workflows, and provider operations.
- Experience with mental health and substance use billing is strongly preferred, including common payer requirements and documentation sensitivities.
- Working knowledge of CPT, healthcare medical terminology, and medical records concepts, with attention to accuracy in claim creation and edits.
- Proven capability with insurance verification, eligibility checks, claim submissions, claim status follow-up, denials management, and prior authorization processes.
- Comfortable working inside an EMR; experience with Kipu is a plus, with strong documentation habits and clean internal notes for billing traceability.
- Highly organized, reliable, and detail-oriented with the ability to manage multiple open claims and requests while maintaining quality and patient-centered professionalism.
Benefits
- Competitive salary
- Opportunity to shape the HR function of a rapidly growing BPO.
- Work closely with a team of industry leaders who have successfully scaled BPOs in the past.
- Career growth and development opportunities.
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