Billing Specialist en OpenLoop

OpenLoop is looking for a Billing Specialist to join our team in Lima, Peru. This role will be a member of the Revenue Cycle Management Team, working closely with the RCM Director.

About OpenLoop

OpenLoop was co-founded by CEO, Dr. Jon Lensing, and COO, Christian Williams, with the vision to bring healing anywhere. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.

Our Company Culture

We have a relatively flat organizational structure here at OpenLoop. Everyone is encouraged to bring ideas to the table and make things happen. This fits in well with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work.

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 front-end 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.

• At least 1 year of working experience in Revenue Cycle, medical billing or similar (required).
• Good communication, organizational and time management skills.
• Ability to work independently.
• Fluency in English (C1) and excellent written and verbal communication skills (required)
• Available to work 100% on site (required).

• Technical or Professional career (could be complete/incomplete) related with Accounting, Business Administration, etc (desired).
• Proven working experience in the US healthcare system or startup background (desired).
• Knowledge of EOB and remittance advice.

In addition to competitive salaries, this role includes:

• Long term contract under a Peruvian company ID("Planilla"). You will receive all the legal benefits in Peruvian soles (CTS, "Gratificaciones", etc). Payment is variable based on candidate experience and skill.
• Monday - Friday workdays Full time (9 am - 6 pm).
• Unlimited Vacation 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.

This position is also open for candidates with some kind of disabilities that are part of the CONADIS list. The coworking is adequate for people with special mobility needs.