Job Description

Payor Operations Associate – Mental & Behavioral Health

πŸ“ Location: Remote (Philippines preferred)
πŸ’° Salary: USD 1,200 – 1,500 per month (depending on qualifications and skills)
⏳ Schedule: Monday to Friday, 9:00 am to 5:00 pm US Pacific time

πŸ“Œ About the Role

We are looking for a Payor Operations Associate with experience in revenue cycle management and claims processing, preferably in the mental and behavioral health industry. This role involves working with insurance payers, managing denials, and handling patient billing inquiries.

If you have a background in medical or dental billing but are eager to specialize in mental health, we’d love to hear from you!

πŸ”Ή Key Responsibilities

βœ”οΈ Billing & Revenue Cycle Management – Process claims, handle denials, and communicate with payers.
βœ”οΈ Claims Processing – Submit and track claims while ensuring accuracy and compliance.
βœ”οΈ Denials & Appeals – Manage claim denials, resubmissions, and appeals efficiently.
βœ”οΈ Payer Communication – Liaise with insurance companies to resolve payment issues.
βœ”οΈ Patient Billing Support – Explain billing statements and patient responsibility amounts.
βœ”οΈ Data Management – Maintain accurate records of payments, rejections, and outstanding balances.

πŸ”Ή What We’re Looking For

βœ”οΈ Must-Have Experience:

  • Billing, claims processing, and revenue cycle management (preferably in mental/behavioral health).

  • Strong communication skills (written & verbal English).

  • Understanding of medical billing codes (behavioral health codes preferred).

βœ”οΈ Nice-to-Have Experience:

  • Experience in mental health practices or digital health startups.

  • Familiarity with denial management and insurance appeals
     
  • Managing credentialing processes for healthcare providers, under the nice to have section.

πŸ”Ž Hiring Process

βœ… Step 1: Video introduction (completed for select candidates).
βœ… Step 2: Take-home assessment (evaluating billing knowledge & written responses).
βœ… Step 3: Final decision & offer.

πŸ’‘ Why Join Us?

🌍 Remote Work: Join a global team from the comfort of your home.
πŸ“ˆ Career Growth: Opportunity to specialize in mental health billing.
πŸ’° Competitive Pay: Monthly salary with potential increases for top candidates.
πŸ‘₯ Supportive Team: Work closely with experienced professionals in the industry.

If you have billing expertise and a passion for accuracy, apply today! πŸš€


Job Details

Role Level: Entry-Level Work Type: Full-Time
Country: Philippines City: Manila, National Capital Region
Company Website: https://somewhere.com/ Job Function: Operations Management
Company Industry/
Sector:
Staffing and Recruiting

What We Offer


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