Medical Billing Supervisor

4 days ago


Makati, Philippines Crowdsource Solutions Full time

Key Responsibilities:
- Supervise and mentor medical billing associates to ensure performance and compliance.
- Accurately enter and review patient demographics, insurance details, and charges in the billing system.
- Verify patient eligibility and payer information prior to charge entry.
- Process and submit medical claims; correct rejections to minimize denials.
- Post insurance and patient payments with daily reconciliation.
- Verify bulk checks, insurance payments, and correspondence before posting.
- Follow up on outstanding claims and promptly appeal denials.
- Communicate with insurance payers to ensure timely claim resolution.
- Generate accurate patient statements and ensure on-time delivery.
- Apply insurance adjustments and contractual write-offs correctly.
- Maintain accurate documentation of claims, payments, and correspondence.
- Prepare and update the Daily Work Confirmation Report and secure sign-offs.
- Ensure compliance with HIPAA regulations and organizational protocols.

Qualifications:
- Bachelor’s degree in any field.
- Minimum of 5 years’ experience in medical billing.
- Strong understanding of the Revenue Cycle Management (RCM) process (charge posting, payment posting, AR follow-up).
- Knowledge of HIPAA regulations and compliance standards.
- Proficiency in Practice Management Software (PMS).
Familiarity with insurance guidelines, EOB, and ERA processing.
Strong Excel and data entry skills.
Excellent leadership, organizational, and communication abilities.



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