Medical Billing Specialist (OASIS)
Looking to take your career to the next level? Then this role is for you!
Join Outsourcey and be part of our mission to revolutionize global talent expansion! We connect businesses with dedicated full-time teams in the Philippines, offering cost-efficient solutions without compromising quality. Join us and help elevate businesses with complete control and comprehensive support, let's shape the future of work together!
Profile Requirements:
- OASIS Expertise: Minimum 3-6 months of hands-on experience using OASIS, with a strong understanding of clinical assessment documentation and home health regulations.
- Clinical Knowledge & Documentation: Strong familiarity with clinical workflows, medical terminology, and healthcare documentation requirements, particularly in home health and rehabilitation.
- Efficiency & Attention to Detail: Ability to quickly and accurately process OASIS documentation, coding, and billing tasks while ensuring compliance with payer guidelines.
- Billing Software & EMR Proficiency: Experience working with electronic medical records (EMR) and medical billing software for claims submission, reporting, and reconciliation.
- Industry Experience Preferred: Prior experience in home health, rehabilitation, or outpatient therapy billing is preferred to ensure understanding of industry-specific requirements and best practices.
Core responsibilities:
- OASIS Documentation & Accuracy: Ensure precise and efficient completion of OASIS (Outcome and Assessment Information Set) documentation, adhering to regulatory and clinical standards for home health care reporting.
- Medical Coding & Compliance: Apply correct medical codes for services provided, ensuring compliance with ICD-10, CPT, and HCPCS guidelines while avoiding coding errors that could impact reimbursement.
- Billing & Claims Processing: Prepare, submit, and track insurance claims, ensuring timely reimbursements from Medicare, Medicaid, and private insurers while resolving denials efficiently.
- Clinical Documentation Review: Work closely with clinicians to review and validate clinical documentation, ensuring accuracy and completeness in alignment with payer requirements and regulatory guidelines.
- Revenue Cycle Management: Monitor accounts receivable, follow up on outstanding claims, and resolve billing discrepancies to maintain steady cash flow for healthcare operations.
- Regulatory Compliance & Audits: Stay up to date on home health regulations, Medicare guidelines, and insurance policies while assisting with internal audits and compliance checks.
Benefits: Competitive salary Opportunity to shape the HR function of a rapidly growing BPO. Work closely with a team of industry leaders who have successfully scaled BPOs in the past. Career growth and development opportunities.
Please attach your CV and we will be in touch for a confidential chat. Let's do great things together!