Medical Billing

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🕒 April 23

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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

• Submit accurate insurance claims via SimplePractice, verifying CPT codes, diagnosis codes, payer IDs, and fees prior to submission; monitor claim status on a bi-monthly cadence and process resubmissions, reconsiderations, and appeals as needed. • Generate and send invoices for deductibles, coinsurance, no-show fees, and private pay balances; follow up with patients on outstanding amounts and manage accounts escalated to collections per company policy. • Verify patient benefits including deductibles, coinsurance, and visit limits prior to billing; identify and communicate insurance red flags, ensure required agreements are signed, and track deductible accumulation. • Review EOBs to confirm payment accuracy, match payments to dates of service, and identify discrepancies; reconcile insurance payments against internal records and investigate mismatches or missing payments. • Identify cases where insurance payments are sent directly to patients and initiate follow-up via portal, SMS, or email to collect and apply outstanding payments; escalate unresolved cases as needed. • Maintain Admin Notes in SimplePractice, Trello tracking cards, and internal spreadsheets for audit readiness; manage pre-authorizations, pre-certifications, and auto accident workflows; communicate clearly with patients on coverage, billing responsibilities, and payment expectations.

🎯 Requirements

• Minimum 2.5-5 years of hands-on medical billing experience in an insurance-based setting, with a demonstrated track record of managing full revenue cycle workflows independently. • Solid understanding of CPT and ICD coding, CMS-1500 claim submission processes, and payer-specific billing rules across multiple insurance carriers. • Direct experience with SimplePractice or a comparable EHR platform; comfort working across insurance portals including Availity, UHC, Cigna, and similar carrier systems. • Strong working knowledge of deductibles, coinsurance, EOBs, appeals, pre-authorizations, and out-of-network (OON) billing workflows. • Highly detail-oriented with strong documentation habits, ability to manage multiple active accounts simultaneously, and consistent follow-up on all outstanding claims and patient balances. • Experience in acupuncture, physical therapy, or a similar specialty healthcare setting preferred; proficiency with Google Sheets, LastPass, and Trello required; familiarity with Zoho One for patient communications is an added bonus.

🏖️ 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.