Medical Billing
RemotePhilippines
Job Summary
Prepare, scrub, and submit behavioral health and substance use claims while tracking rejections, denials, and underpayments through payer portals. Verify eligibility and benefits for mental health services, coordinate prior authorizations with facilities and payers, and manage claim status updates to resolve errors and appeals. Utilize Kipu EMR to support patient billing workflows, documentation touchpoints, and records management as a medical virtual assistant. Maintain clean internal notes for billing traceability while communicating with facilities, payers, and clients regarding insurance questions. This role requires a detail-oriented professional with experience in insurance workflows and CPT coding to keep accounts receivable moving in a remote position.
Required Qualifications
- Background in medical billing or healthcare administration supporting claims, insurance workflows, and provider operations
- Experience with CPT, healthcare medical terminology, and medical records concepts
- Attention to accuracy in claim creation and edits
- Proven capability with insurance verification, eligibility checks, claim submissions, claim status follow-up, denials management, and prior authorization processes
- Comfortable working inside an EMR
- Strong documentation habits and clean internal notes for billing traceability
- Highly organized, reliable, and detail-oriented
- Ability to manage multiple open claims and requests while maintaining quality and patient-centered professionalism
- This is a remote position
Desired Qualifications
- Behavioral Health Billing Exposure: Experience with mental health and substance use billing is strongly preferred, including common payer requirements and documentation sensitivities
- Experience with Kipu is a plus
- Career growth and development opportunities
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