Medical Billing

🕒 February 20

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Outsourcey

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2024

🤝 B2B

🛍️ eCommerce

B2B • eCommerce • IT outsourcing

Outsourcey is a leading remote staffing agency specializing in connecting businesses with skilled offshore talent. They simplify the outsourcing process for companies ranging from startups to Fortune 500 firms, offering flexible staffing solutions without long-term contracts or setup fees. By leveraging a vast network of qualified professionals, Outsourcey helps clients reduce operational costs while improving efficiency and scalability, ensuring that businesses can effectively meet their project demands across various industries.

📋 Description

• 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.

🎯 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.