Medical Billing Auditor
4 days ago
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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