Claims and Billing Specialist

Discover your 100% YOU with MircoSourcing

Position: Claims and Billing Specialist

Location: Global One, Eastwood, Libis, QC, Philippines

Work setup & shift: Night Shift / Onsite

You'll Have

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.
  
  

Job Responsibilities

• Process and submit insurance claims in accordance with insurer requirements and federal regulations.
• Handle billing and invoicing for therapists utilizing our EMR platform, ensuring accuracy and compliance with healthcare regulations.
• Conduct regular follow-ups on unpaid claims with insurers and other third parties, and manage denials by initiating appeals.
• Collaborate with therapists to obtain any necessary documentation for claim submission and resolution.
• Maintain up-to-date knowledge of billing regulations, payer policies, and compliance guidelines.
• Assist in the integration and onboarding of therapists onto the Billing Module, providing support and training as needed.
• Utilize the EMR platform to input patient data, verify insurance eligibility, and manage patient billing inquiries.
• Work closely with the development team to provide feedback and suggestions for billing module enhancements based on user experience.
  
  

Qualifications

• Bachelor's degree in Finance, Accounting, Healthcare Administration, or related field.
• Proven experience in medical billing, preferably within behavioral health or similar healthcare sectors.
• Familiarity with healthcare billing software, with a preference for candidates with experience in EMR platforms.
• Strong understanding of healthcare insurance processes, coding, and compliance requirements.
• Excellent organizational, communication, and customer service skills.
• Ability to work independently and as part of a team in a fast-paced environment.
  
  

Competencies/Personality Traits:

• Detail-oriented with a high degree of accuracy.
• Strong analytical and problem-solving skills.
• Patient and empathetic, with the ability to handle sensitive information confidentially.
• Proactive and motivated, with a continuous improvement mindset.
  
  

Prior Experience

• At least 2 years of experience in medical billing, with a preference for those who have worked in behavioral healthcare settings.
• Experience with third-party billing and insurance claim processes is highly desirable.
  
  

Performance Measurement

• Accuracy and timeliness of claim submissions and resolutions.
• Reduction in the average time to collect outstanding receivables.
• Positive feedback from therapists and other platform users regarding support and training.
• Contribution to the continuous improvement of the Billing Module and overall platform functionality.
  
  

Additional Screening Ideas

• A practical test simulating the billing process using scenarios typical to the behavioral healthcare setting.
• Scenario-based interview questions to assess problem-solving and customer service skills.
  
  

About MicroSourcing

With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU

MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!

For more information, visit https://www.microsourcing.com/

• Terms & conditions apply