ФилиппиныMedical Biller, Specialty DME
2 нед. назад
ФилиппиныRemote
Responsible for billing processes related to specialty durable medical equipment in a healthcare technology company.
О компании
- The healthcare industry still relies on faxes and phone tags to coordinate critical care for patients at home. We think patients and the clinicians who serve them deserve better than a system stuck in 1995.
- Verse Medical is building the modern software infrastructure to make it happen. We're a well-funded Series C company (backed by General Catalyst, SignalFire, and Sapphire Ventures) on a mission to heal a fragmented system. Our platform connects the dots between providers, payors, and patients, ensuring people get the high-quality care they need, reliably and right where they live. We’re growing fast and looking for people who are driven by this mission to join us!
- You'll be joining the Revenue Cycle Management (RCM) team, a hands-on team that values accuracy and speed of execution.
Обязанности
- This isn't just a job; it's a chance to build something that matters. As a Medical Biller, you'll be shaping the future of at-home care. You'll be a key part of the RCM team, working to get patients the medical equipment they need at home by making sure every claim is filed correctly and paid on time. You'll also be joining at an exciting time: as we launch new product categories, you'll help build the billing processes that support them from day one.
- Bill Medicare, Medicaid and other insurance carriers.
- Research and correct rejected claims and post payments.
- Resubmissions of claims as required with supporting documentation as needed.
- Post payments or rejections received.
- Call payers and/or work on payer websites to status or reprocess claims as necessary to secure payment for claims.
- Update accounts receivable with new accounts or missed payments.
- Ensure all clients remain informed on their outstanding balances and debts.
- Learn the billing, documentation, and prior authorization requirements for new product categories as we launch them, and help us turn what you learn into repeatable processes.
Требования
- We believe that diverse experiences and backgrounds lead to better solutions. While we have an idea of what will help someone succeed in this role, we are open to being convinced by your unique story and skills. If you believe you can achieve the outcomes above, we encourage you to apply.
- Great communication, written and verbal, in English.
- Detail-oriented and accurate when working through a queue of claims, denials, or payments.
- You're energetic and organized.
- Comfortable with learning new things quickly.
- Coachable and curious: you take feedback well, ask good questions, and apply what you learn.
- Some experience in US medical billing, claims, or revenue cycle (any specialty) is helpful. We'll train you on our product categories.
Будет плюсом
- Familiarity with prior authorizations and medical necessity documentation for DME.
- If you have billed for any of the following, we want to hear about it:
- Diabetes: continuous glucose monitors (CGMs), insulin pumps, and related supplies
- Respiratory: CPAP and BiPAP, including capped rental billing and compliance/adherence documentation
- Mobility: manual and power wheelchairs, including complex rehab
- Orthotics & Prosthetics (O&P)
Другое
- Our values are the operating system for how we work together and with our partners. They aren't just words on a wall; they are the principles we bring to every decision, every day.
- We are transparent, upfront and direct. We operate with honesty and clarity. We share information openly, the good and the bad, and believe that direct, respectful feedback is the foundation of trust and progress.
- We value speed of iteration. We are building something new, which means we learn by doing. We prioritize rapid iteration and getting solutions into the hands of users, believing that progress is more valuable than perfection.
- We give 110% effort, 30% of the time. We are passionate about our mission, and there are moments that require us to go the extra mile. We believe in focused intensity when it counts, balanced by a sustainable pace that keeps our team energized for the long run.
- We empathize with customers to a fault. When our users face a problem, we own it. Instead of asking them to change, we ask ourselves, "How can we make this better?" We believe true innovation comes from deep empathy and a relentless focus on solving the real-world challenges of healthcare.
- Billing & Claims: Verse’s internal order and billing platform, plus our clearinghouse for claim submission and remittances
- Payer Portals: Availity, DME MAC portals, and health plan provider portals
- Reporting: Metabase and Google Sheets
- Collaboration: Slack and Google Workspace
- This is a remote role based in Manila, PH.
- At Verse Medical, our mission is to deliver equitable, hospital-quality care to everyone, regardless of their background or where they live. We can only achieve this if our own team reflects the diversity of the patients we serve. We are committed to building a workplace where everyone feels a sense of belonging, where their contributions are valued, and where they can do their best work. We embrace diversity of all kinds: race, gender, age, religion, identity, experience. We are actively working to build a more inclusive and equitable world, starting from within our own walls. We are an equal opportunity employer.
- We are also committed to providing a positive and accessible interview experience. If you require any accommodations to participate in our process, please contact us at recruiting@.com .