Medical Billing

Looking to take your career to the next level? Then this role is for you!

Join Outsourcey and be part of our mission to revolutionize global talent expansion! We connect businesses with dedicated full-time teams in the Philippines, offering cost-efficient solutions without compromising quality. Join us and help elevate businesses with complete control and comprehensive support, lets shape the future of work together!

Profile Requirements:

• Experience: 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
• Technical & Coding Knowledge: Solid understanding of CPT and ICD coding, CMS-1500 claim submission processes, and payer-specific billing rules across multiple insurance carriers
• EHR Proficiency: Direct experience with SimplePractice or a comparable EHR platform; comfort working across insurance portals including Availity, UHC, Cigna, and similar carrier systems
• Insurance Concepts: Strong working knowledge of deductibles, coinsurance, EOBs, appeals, pre-authorizations, and out-of-network (OON) billing workflows
• Organization & Attention to Detail: 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
• Preferred Background & Tools: 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

Core responsibilities:

• Insurance Billing & Claims Support: 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
• Patient Billing & Collections: 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
• Insurance & Benefits Verification: 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
• EOB Review & Payment Reconciliation: 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
• Missing Insurance 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
• Patient Communication, & Documentation: 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

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.

Please attach your CV and we will be in touch for a confidential chat. Lets do great things together!

This is a remote position.