Billing Specialist

hace 2 semanas

Lima, Perú OpenLoop A tiempo completo

About Openloop

When our CEO & Co-Founder was a kid, he thought his dad must be the best doctor in the world.

Why else were people driving from all over for their appointments? He realized that, while his dad _was_ a great doctor, he was also one of the _only_ specialists available in his rural community.

That's why we built OpenLoop.

We're passionate about powering Telehealth companies in all 50 states of US to expand access to affordable, convenient, and quality care.

We do this by connecting our network of leading clinicians with innovative digital health companies, and managing many of the HR and Operations challenges that come with licensing, credentialing, insurance, PC groups and scheduling, all through our SaaS platform.

We have a flat organizational structure. Everyone is encouraged to bring ideas to the table and make things happen.

This fits with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work.


Job functions:

Responsibilities include, but are not limited to:

  • Support Revenue Cycle Management Team by auditing physician coding and clinical documentation for correct code assignment and medical necessity support.
  • Responsible for timely resolution of insurance claims including appeals.
  • Prepares and submits clean claims to various insurance payers both electronic and paper.
  • Updates member numbers and insurance payer information and submits corrected billing as needed.
  • Works clearinghouse rejections daily and notifies supervisor of any ongoing frontend errors that need to be addressed.
  • Work with third party biller agency to ensure claims are being processed accordingly.
  • Works with patients to review billing issues and process outstanding balances.
  • Contact insurance carriers to verify eligibility and authorizations.
  • Answering all patient or insurance telephone inquiries.
  • Updating billing software as required.

Qualifications and requirements:

  • At least 1 year of Revenue Cycle Experience
  • Understanding of EOB and remittance advises
  • Good communication, organizational and time management skills
  • Familiarity with Evaluation and Management coding
  • Ability to work independently
  • Advance level of Speaking in English will help you growth in the career path.

Desirable skills:

  • Technical or Professional career (could be complete/incomplete) related with Bussines Administration, Industrial Engineer, etc.

Conditions:

In addition to competitive salaries, this role includes:

  • Monday
  • Friday workdays Full time (9 am
  • 6 pm).
  • Vacations will be according the Legal requirements in Peru. (22 days)
  • EPS healthcare covered 100% with RIMAC Because you, too, deserve access to great healthcare.
  • AFP retirement plan—to help you save for the future.
  • We will assign a computer in the office so you can have the best tools to do your job.
  • You will have all the benefits of the Coworking space located in Lima
  • Miraflores (Free beverage, internal talks, bicycle parking, best view of the city)
  • Flexible Schedule and Work Policy.

Outdoors The premises have outdoor spaces such as parks or terraces.
Accessible An infrastructure adequate for people with special mobility needs.
Flexible hours Flexible schedule and freedom for attending family needs or personal errands.
Bicycle parking You can park your bicycle for free inside the premises.
Health coverage OpenLoop pays or copays health insurance for employees.
Dental insurance OpenLoop pays or copays dental insurance for employees.
Computer provided OpenLoop provides a computer for your work.
Informal dress code No dress code is enforced.
Recreational areas Space for games or sports.
Beverages and snacks OpenLoop offers beverages and snacks for free consumption.
Vacation on birthday Your birthday counts as an extra day of vacation.

Remote work policy:

Hybrid
This job takes place some days from home and others at the office.

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