Medical Billing Manager

3 days ago

Makati, Philippines Crowdsource Solutions Full time

Qualifications:
● Bachelor’s 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.

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