Medical Billing Manager

4 weeks ago

Makati, Philippines Crowdsource Innovative Solutions, Inc. Full time

Hybrid - Makati 5-10 Yrs Exp Bachelor Full-time Job Description Bachelor degree in Business Administration, Healthcare Administration, or a related field. At least 7 years of experience in medical billing, with 3–5 years in a supervisory or managerial capacity. In-depth knowledge of the Revenue Cycle Management (RCM) process, including charge entry, payment posting, AR follow-up, and denial management. Strong understanding of HIPAA regulations, payer rules, and compliance protocols. Proficiency in Practice Management Software (PMS) and Electronic Health Record (EHR) systems. Excellent leadership skills with proven ability to manage, train, and motivate billing teams. Advanced skills in Excel and data reporting for financial analysis and productivity tracking. Strong communication and problem-solving skills for resolving complex billing and insurance issues. Demonstrated ability to implement process improvements that enhance accuracy, efficiency, and cash flow. Highly organized, detail-oriented, and capable of managing multiple priorities in a deadline-driven environment. Key Responsibilities: Provide strategic leadership and direction for the medical billing department to ensure accuracy, efficiency, and compliance with regulatory standards. Oversee end-to-end Revenue Cycle Management (RCM), including charge entry, payment posting, AR follow-up, and denial management. Develop, implement, and monitor policies, procedures, and best practices to optimize billing operations and maximize cash flow. Lead, mentor, and evaluate billing supervisors and associates, fostering a culture of accountability, collaboration, and continuous improvement. Ensure strict compliance with HIPAA regulations, payer requirements, and federal/state healthcare billing guidelines. Analyze financial and operational data to prepare detailed reports on billing performance, reimbursement trends, and aging accounts. Partner with senior leadership, clinicians, and insurance providers to resolve escalated billing issues and improve payer relationships. Identify areas for automation or system improvements within Practice Management Software (PMS) and EHR platforms. Monitor key performance indicators (KPIs) such as collections, denial rates, AR days, and reimbursement turnaround times, and implement corrective action when needed. Lead training and development programs to enhance the technical and regulatory knowledge of the billing team. Participate in audits and ensure readiness for internal and external compliance reviews. Contribute to long-term business planning by forecasting billing volumes, staffing needs, and revenue goals. Adrian Tacaca HR Assistant Crowdsource Innovative Solutions, Inc. #J-18808-Ljbffr

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