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Healthcare Billing Specialist

1 week ago

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

**About the Role**

We are looking for a seasoned Clinical Bill Review Manager to join our EXL Service Philippines, Inc. team. In this role, you will provide clinical support and training to Medical Services Representatives and manage and audit medical bills and records. You will also validate coding (ICD/PT/DRG) and apply fee schedules, negotiate provider fees and leverage cost-saving opportunities.

**Responsibilities**

  1. Provide clinical support and training to Medical Services Representatives.
  2. Manage and audit medical bills and records.
  3. Validate coding (ICD/PT/DRG) and apply fee schedules.
  4. Negotiate provider fees and leverage cost-saving opportunities.

**Requirements**

  • Must have an Active PRC RN License & License Coder.
  • At least 2 years of experience as a Medical Coder.
  • At least 1 year of experience as a Team Lead Medical Coder.

This is an excellent opportunity to work with a leading healthcare organization and contribute to the development of the Clinical Bill Review program.