Medical Billing Auditor

4 days ago


Manila, National Capital Region, Philippines EXL Service Philippines, Inc. Full time

About the Role
EXL Service Philippines, Inc. is seeking a highly skilled Medical Billing Auditor to join our team. As a key member of our Clinical Bill Review program, you will be responsible for managing and auditing medical bills and records.

Key Responsibilities

  • Validate coding (ICD/PT/DRG) and apply fee schedules.
  • Negotiate provider fees and leverage cost-saving opportunities.
  • Provide clinical support and training to Medical Services Representatives.
  • Contribute to the development of the Clinical Bill Review program.

Requirements

  • Must have an Active PRC RN License & License Coder.
  • At least 2 years of experience as a Medical Coder.


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