Medical Billing Manager

3 weeks ago

Cebu City, Central Visayas, Philippines Staff4Me Full time

Job Summary: The Medical Billing Manager is responsible for overseeing and managing the billing operations within the healthcare organization. This role involves leading the billing team, ensuring accuracy in billing procedures, optimizing revenue cycle processes, and maintaining compliance with healthcare regulations. The Medical Billing Manager will collaborate with various departments, healthcare providers, and insurance companies to ensure efficient and accurate claims submissions, follow-ups, and reimbursements.

Key Responsibilities:
  1. Supervise Billing Operations: Lead, manage, and support the medical billing team in their day-to-day functions, ensuring timely and accurate processing of claims.
  2. Revenue Cycle Management: Oversee all aspects of the revenue cycle, from charge entry, coding, claims submission, payment posting, and account follow-up to collections.
  3. Ensure Compliance: Ensure adherence to healthcare regulations, HIPAA, and payer-specific policies. Stay updated on regulatory changes affecting medical billing.
  4. Claims Management: Monitor and manage the processing of insurance claims, including claim submissions, denials, appeals, and payments. Investigate and resolve billing issues as needed.
  5. Staff Training and Development: Train and mentor billing staff on best practices, updates in billing processes, software systems, and new healthcare regulations.
  6. Reporting: Provide regular reporting to senior management on billing performance, key metrics, accounts receivable, and revenue cycle efficiency.
  7. Vendor and Payer Relations: Work closely with insurance companies, third-party payers, and healthcare providers to resolve disputes and improve payment processes.
  8. Audit and Quality Assurance: Conduct periodic internal audits to ensure billing accuracy and compliance. Address any discrepancies in billing procedures and make improvements.
  9. Process Improvement: Identify inefficiencies within the billing department and recommend solutions to streamline processes, improve cash flow, and reduce claim denials.
  10. Collaboration: Collaborate with the clinical, administrative, and financial teams to ensure smooth operations and revenue flow.
Minimum Requirements:
  1. Bachelor's degree in healthcare administration, business, or a related field (preferred).
  2. Minimum [X] years of experience in medical billing, revenue cycle management, or a related role.
  3. In-depth knowledge of healthcare billing practices, coding (CPT, ICD-10, HCPCS), and payer guidelines.
  4. Strong leadership and team management experience.
  5. Proficiency in medical billing software and electronic health records (EHR) systems.
  6. Excellent analytical, problem-solving, and organizational skills.
  7. Strong communication and interpersonal skills.
  8. Knowledge of HIPAA regulations and healthcare compliance.
Preferred Qualifications:
  1. Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) certification.
  2. Experience with Medicare, Medicaid, and private insurance billing.
#J-18808-Ljbffr

  • Medical Billing Manager

    2 weeks ago

    Cebu City, Central Visayas, Philippines CallTek Full time

    Job SummaryThe Medical Billing Manager is responsible for overseeing and managing the billing operations within the healthcare organization. This role involves leading the billing team, ensuring accuracy in billing procedures, optimizing revenue cycle processes, and maintaining compliance with healthcare regulations. The Medical Billing Manager will...

  • Medical Billing Manager

    3 weeks ago

    Cebu City, Central Visayas, Philippines Ann Grogan & Associates, Inc. Full time

    Exciting office-based environment with great culture and the opportunity to work with US-based clients. Our office is in a brand new building and offers great benefits to employees.Job DescriptionWe are seeking a dynamic and experienced Medical Billing Manager at the operational manager level to lead our billing department. The successful candidate will...

  • Medical Billing Auditor

    2 weeks ago

    Cebu City, Central Visayas, Philippines Staff4Me Full time

    OverviewJob Summary: The Medical Billing Auditor is responsible for auditing and reviewing the billing practices of a medical practice to ensure accuracy, compliance with regulatory standards, and optimization of revenue cycle processes. This role involves evaluating medical coding, claim submissions, and reimbursement procedures to identify discrepancies,...

  • Medical Billing Specialist

    4 weeks ago

    Cebu City, Central Visayas, Philippines CallTek Full time

    Job SummaryThe Medical Billing Specialist is responsible for ensuring the accurate submission of medical claims to insurance companies, managing accounts receivable, and ensuring timely collections. The role requires a deep understanding of medical billing and coding processes, insurance policies, and the ability to communicate effectively with patients and...

  • Medical Billing Specialist

    2 weeks ago

    Cebu City, Central Visayas, Philippines Staff4Me Full time

    OverviewThe Medical Billing Specialist is responsible for ensuring the accurate submission of medical claims to insurance companies, managing accounts receivable, and ensuring timely collections. The role requires a deep understanding of medical billing and coding processes, insurance policies, and the ability to communicate effectively with patients and...

  • Medical Practice Billing Expert

    2 weeks ago

    Cebu City, Central Visayas, Philippines beBeeMedicine Full time ₱440,000 - ₱620,000

    Job OverviewThe Medical Billing Auditor is a crucial role in ensuring the accuracy, compliance, and optimization of revenue cycle processes within a medical practice. This position involves evaluating medical coding, claim submissions, and reimbursement procedures to identify discrepancies, areas of improvement, and potential billing errors.Audit Medical...

  • Chief Medical Billing Officer

    2 weeks ago

    Cebu City, Central Visayas, Philippines beBeeAccountability Full time $44,430 - $60,840

    Medical Biller PositionThis is a medical billing opportunity that involves managing accounts receivable and working with healthcare providers and insurance companies.About the JobWe are seeking a highly skilled Medical Biller/Accounts Receivable Specialist to join our organization. The ideal candidate will have experience in medical billing, strong...

  • Medical Billing Expert

    2 weeks ago

    Cebu City, Central Visayas, Philippines beBeeClaims Full time ₱250,000 - ₱350,000

    Medical Claims SpecialistAbout the RoleWe are seeking a skilled Medical Claims Specialist to join our team. As a key member of our organization, you will be responsible for managing medical claims and insurance processes with high accuracy and efficiency.This role is ideal for an individual with strong organizational skills, exceptional attention to detail,...

  • Medical Billing Professional

    2 weeks ago

    Mandaue City, Central Visayas, Philippines beBeeSpecialist Full time ₱4,000,000 - ₱5,500,000

    Medical Billing SpecialistAs a skilled medical billing professional, you will be responsible for managing accounts receivables, coordinating with insurance companies and healthcare providers, handling denied claims, and ensuring timely reimbursement of medical expenses.Manage patient records and keep up-to-date informationCoordinate with healthcare providers...

  • Medical Billing Specialist

    2 weeks ago

    Mandaue City, Central Visayas, Philippines beBeeMedicalBilling Full time $40,000 - $60,000

    We are seeking a detail-oriented and proactive Medical Biller to support the billing team.Key Responsibilities:Prepare and submit accurate medical claims to insurance companies (electronic and paper).Post payments from insurance companies and patients into the EMR system.Reconcile patient accounts, identify discrepancies or payment issues and resolve...