About Get2Work. Get2Work builds and runs offshore teams for operators, not a marketplace and not a call center. You are hired by us, trained in our academy, and placed on a dedicated client account with real management, QA and a path to grow. We are the employer of record, so you get a real job, real benefits and a real floor.
Job Specifications
Department: Healthcare Support
Employment type: Full-time
Work setup: On-site at a Get2Work hub (Manila, Cebu or Yerevan)
Experience level: Junior to mid
Employer: Get2Work (we are your employer of record)
Job Summary: Claim creation, submission and reconciliation end to end.
Key Responsibilities:
- Create, submit and reconcile claims end to end
- Scrub claims before submission
- Post payments and manage rejections
- Keep the billing cycle moving
Working with AI: Healthcare back office runs on AI for coding suggestions, claim scrubbing and denial prediction. You supervise the models and own compliance.
- Use AI assisted coding and claim scrubbing to speed accurate submissions, then confirm against the chart
- Use denial prediction to prioritize the accounts most likely to pay
- Keep every AI assisted step inside HIPAA and audit rules
Competencies:
- Precision with clinical and claims data
- Strict adherence to HIPAA and privacy
- Persistence on denials and follow-up
- Empathy with patients and providers
- Comfort with audit and compliance
Skills:
- Knowledge of US healthcare revenue cycle
- Familiarity with payer portals and clearinghouses
- Understanding of medical terminology
- Careful, documented work
Tools you will use: Practice management and clearinghouse systems
Education: Associate or bachelor degree, or equivalent proven experience.
Work Experience: Two to three years in the function, with a track record you can show.
Key Performance Indicators:
- Clean claim rate and denial rate
- Days in AR
- Coding and documentation accuracy
- Turnaround time on eligibility and authorizations