Billing Specialist en OpenLoop

About Openloop
When our CEO & Co-Founder was a kid, he thought his dad must be the best doctor in the world. Why else were people driving from all over for their appointments? He realized that, while his dad was a great doctor, he was also one of the only specialists available in his rural community.

That’s why we built OpenLoop. We’re passionate about powering Telehealth companies in all 50 states of US to expand access to affordable, convenient, and quality care. We do this by connecting our network of leading clinicians with innovative digital health companies, and managing many of the HR and Operations challenges that come with licensing, credentialing, insurance, PC groups and scheduling, all through our SaaS platform.

We have a flat organizational structure. Everyone is encouraged to bring ideas to the table and make things happen. This fits 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 Revenue Cycle Experience
• Understanding of EOB and remittance advises
• Good communication, organizational and time management skills
• Familiarity with Evaluation and Management coding
• Ability to work independently
• Advance level of reading, writing and speaking in English will help you growth in the career path.

• Technical or Professional career (could be complete/incomplete) related with Bussines Administration, Industrial Engineer, etc.

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).
• Vacations will be according the Legal requirements in Peru. (22 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.