Implementation Specialist

18 hours ago


Cavite City, Philippines The Functionary Full time

Senior IT Recruiter @ The Functionary | Technical Hiring Expert Position: Managed Billing Implementation Specialist Do you have strong experience in medical billing, RCM, and payer enrollments ? This is your opportunity to join a growing team and help set up providers for long-term success in the mental and behavioral health sector Manage, track, and troubleshoot payer enrollments (EDI & ERA). Review and validate payer agreements for accuracy (Payer Contract Verification). Audit CMS-1500 claims to reduce errors and maximize reimbursement (Insurance Billing Audits). Stay up to date on mental health billing requirements (Payer Guideline Research). Apply CPT & ICD-10 coding for psychotherapy, evaluations, and more (Medical Coding). Navigate systems, manage demographics, and ensure compliance (EHR/EMR & Provider Portals). Help providers become paneled with insurance companies (Credentialing & Contracting Support). Qualifications 3+ years in medical billing & RCM. Strong knowledge of mental health billing, CMS-1500 & payer guidelines. Advanced English (C1) – both written and spoken. Experience with EHR/EMR systems, clearinghouses, and payer portals. Detail-oriented, analytical, and an excellent problem-solver. Benefits & Requirements Full-time availability required / exact schedule will be provided later in the process. Remote – Work from Home (Philippines). Application Submit your up-to-date resume in English here or apply directly through the job portal. #J-18808-Ljbffr



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