Billing Operations Manager

1 day ago


Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corp Full time
Billing Supervisor Job Description

At Visaya Knowledge Process Outsourcing Corp, we are seeking a highly skilled Billing Supervisor to join our team. As a key member of our revenue cycle team, you will be responsible for overseeing and supervising the daily billing operations, workflows, and colleague performance.

Key Responsibilities:
  • Oversee and supervise the daily billing operations, workflows, and colleague performance
  • Serve as a technical expert of billing and billing scrubber technology
  • Establish team and individual goals and priorities concurrent with organizational objectives
  • Monitor staff performance and quality, addressing any training or performance issues
  • Conduct daily and weekly staff meetings for continued process improvement and project knowledge
  • Conduct routine account activity quality audits to ensure accounts are being worked appropriately
  • Collaborate with leadership and training to build training plans required to build a best practice team
  • Assist and resolve internal business partner inquiries
  • Compile and provide reports or logs to leadership for regular review
  • Maintain a current working knowledge of all healthcare-related issues and regulations
  • Proactively analyze and solve problems quickly and thoroughly
  • Report trends and potential issues to leadership as appropriate
  • In coordination with Human Resources, make decisions related to corrective actions, hiring, and terminations
  • Review and manage team timecard verification and requests for time off, ensuring alignment with business needs and staffing requirements
  • Perform special projects as required
Additional Expectations:
  • The Billing Supervisor would have their own work queue.
  • When the billers do the adjustments, they go into a separate supervisor manager work queue and they have to be approved by that supervisor.
  • The supervisor would have to look at the note and check why did they take the adjustment? Do they agree to the adjustment or do they not?
  • They'll sign off on it and then they approve the adjustment. For over $500, they all have to go through the supervisor to make the adjustment.
  • The Billing Supervisor would need to keep up with the productivity and the QA. The quality audits of the billing team, the current billing.
  • The Billing Supervisor comes to all of the payer meetings. All of Medicaid, MCO's which is the managed care, it's the Medicaid managed care contracts. Biweekly monthly meetings.
  • The Billing Supervisor attends those and they go over any edits that they see.
  • The other biggest, biggest thing is when an external edit, which is of Clearing House Edit, which is a payer edit, when it comes back the client asks the billing supervisor, since they're the first ones to see these, the client needs to know when they hit because they want to make an Epic edit.
  • Client doesn't want external edits and would rather have them all us, so we try to prevent these. Make sure we go out with clean claims.
  • The Billing Supervisor is hands on in the work queue.
  • The Billing Supervisor is the client's first line of sight through all of the claims and they have a 98% expectation of clean claim rates.
  • The Billing Supervisor currently works with the payer clearing house more than any on the client side. The clearing house being Availity.
  • They put in the tickets if. anything is wrong with the claims. If the claims don't go out any of those things, the Billing Supervisor is the first line of sight before any of the claims hit.
Qualifications:
  • High School Diploma or GED
  • 2+ years of experience in healthcare insurance billing with or for a hospital or hospital system, working directly with government or commercial insurance payers
  • 2+ years working knowledge of Billing scrubbers' processes and functionality
  • Demonstrated ability to work in a team environment that requires quick turnaround and quality output
  • Ability to facilitate and influence decisions by motivating others to achieve excellence
  • Demonstrated subject matter expertise in insurance company practices regarding reimbursement with the ability to translate knowledge into training, supporting performance excellence
  • Ability to develop and manage relationships with colleagues
  • Demonstrated ability to navigate Internet Explorer and Microsoft Office
  • Proven knowledge and experience in governmental, legal, and regulatory provisions related to billing and collection activity
  • Must be willing to work onsite in Ortigas, Pasig City
Preferred Qualifications:
  • BA/BS in business, healthcare administration or related concentration
  • AAHAM (American Association of Healthcare Administrative Management) Certification
  • Prior management or supervisory experience
  • Green Belt Process Improvement Certification


  • Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corp Full time

    Billing Supervisor Job DescriptionWe are seeking a highly skilled Billing Supervisor to join our team at Visaya Knowledge Process Outsourcing Corp. As a Billing Supervisor, you will be responsible for overseeing and supervising the daily Billing operations, workflows, and colleague performance.Key Responsibilities:Oversee and supervise the daily Billing...


  • Pasig, National Capital Region, Philippines Visaya KPO Full time

    Billing Specialist RoleAt Visaya KPO, we are seeking a skilled Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and claims processing for our clients.Key Responsibilities:Verify patient, billing, and claim information for accuracy using various hospital and...


  • Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corp Full time

    Job Title: Medical Billing Team LeadAt Visaya Knowledge Process Outsourcing Corp, we are seeking a highly skilled Medical Billing Team Lead to join our team. As a key member of our healthcare operations team, you will be responsible for leading a team of medical billing professionals in ensuring accurate and timely claims processing.Key...


  • Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corp Full time

    Job Title: Medical Billing Team LeadAt Visaya Knowledge Process Outsourcing Corp, we are seeking a highly skilled Medical Billing Team Lead to join our team. As a Medical Billing Team Lead, you will be responsible for leading a team of medical billers in processing and managing medical claims, ensuring timely and accurate payment from insurance providers.Key...


  • Pasig, National Capital Region, Philippines RecruiterPH Full time

    Job Title: Operations ManagerRecruiterPH is seeking an experienced Operations Manager to join our team. As a key member of our organization, you will be responsible for leading our revenue cycle operations and ensuring the success of our clients.Key Responsibilities:Improve team performance and efficiencyDevelop and execute business operations to meet...

  • Operations Director

    2 days ago


    Pasig, National Capital Region, Philippines RecruiterPH Full time

    Job Title: Operations ManagerRecruiterPH is seeking an experienced Operations Manager to join our team. As an Operations Manager, you will be responsible for leading our revenue cycle processes and ensuring the success of our operations as a profit center.Key Responsibilities:Improve Accounts/Teams PerformanceDevelop and execute business operations to cater...

  • Operations Director

    2 days ago


    Pasig, National Capital Region, Philippines RecruiterPH Full time

    Job Title: Operations Director Job Summary: We are seeking an experienced Operations Director to lead our team in delivering exceptional results. As a key member of our leadership team, you will be responsible for driving business growth, improving process standards, and enhancing associate efficiency. Responsibilities: * Improve Accounts/Teams...

  • Operations Manager

    2 days ago


    Pasig, National Capital Region, Philippines PROFESSIONAL PARKING GROUP Full time

    Job SummaryThe Operations Supervisor plays a crucial role in the day-to-day operations of our car parks, reporting directly to the Operations Manager. This position is responsible for overseeing the functions and duties of the assigned car park, ensuring seamless operations and exceptional customer service.Key Responsibilities:Operational Functions: Manage...

  • Operations Manager

    2 days ago


    Pasig, National Capital Region, Philippines PARK SECURE MANAGEMENT CORP. Full time

    Job SummaryThe Operations Supervisor plays a crucial role in the day-to-day operations of assigned car parks, directly reporting to the Operations Manager. This position is responsible for carrying out responsibilities in various functional areas, including operational functions, sales and marketing support functions, business development support functions,...


  • Pasig, National Capital Region, Philippines JK Network Services Full time

    Job Title: IT ManagerJK Network Services is seeking an experienced IT Manager to oversee site operations and manage IT functions.Key Responsibilities:Site Operations Management: Manage 24x7 shift operations and supervise staff to ensure seamless delivery of services.Task Allocation and Resource Management: Distribute workloads and manage resource constraints...


  • Pasig, National Capital Region, Philippines JK Network Services Full time

    Key Responsibilities:• Oversee Site Operations: Manage 24x7 shift operations and supervise staff, ensuring seamless day-to-day operations.• Task Allocation: Distribute workloads and manage resource constraints effectively, maximizing productivity and efficiency.• Manage IT Operations: Handle day-to-day IT functions, including escalations and ticket...


  • Pasig, National Capital Region, Philippines SYCPC Full time

    Job Title: Gantry Crane OperatorAt SYCPC, we are seeking a skilled Gantry Crane Operator to join our team. As a key member of our operations team, you will be responsible for safely operating the crane under supervision, inspecting the crane to ensure its safety, and performing routine maintenance.Key Responsibilities:Operating the crane under...

  • Operations Manager

    2 days ago


    Pasig, National Capital Region, Philippines PARK SECURE MANAGEMENT CORP. Full time

    Job Title: Operations SupervisorPARK SECURE MANAGEMENT CORP. is seeking a highly skilled and experienced Operations Supervisor to join our team. As an Operations Supervisor, you will be responsible for overseeing the day-to-day operations of our car parks, ensuring that all functions and duties are carried out efficiently and effectively.Key...

  • Operations Manager

    2 days ago


    Pasig, National Capital Region, Philippines Park Secure Full time

    Job SummaryThe Operations Supervisor plays a crucial role in the day-to-day operations of assigned car parks, directly reporting to the Operations Manager. Key responsibilities include managing car park employees, ensuring compliance with company policies and procedures, and conducting regular site visits to monitor performance and identify areas for...

  • Operations Manager

    15 hours ago


    Pasig, National Capital Region, Philippines Park Secure Full time

    Job SummaryThe Operations Supervisor plays a crucial role in the day-to-day operations of our car parks, reporting directly to the Operations Manager. This position is responsible for overseeing the functions and duties of assigned car parks, ensuring compliance with company policies and procedures.Key ResponsibilitiesManage and lead car park employees,...

  • Operations Manager

    2 days ago


    Pasig, National Capital Region, Philippines Cobden & Carter International Full time

    Operations Supervisor Job DescriptionJob Summary:We are seeking a highly skilled Operations Supervisor to join our team at Cobden & Carter International. The successful candidate will be responsible for overseeing the day-to-day operations of our team, ensuring seamless execution of tasks and projects.Key Responsibilities:Lead and manage a team of team...


  • Pasig, National Capital Region, Philippines SYCPC Full time

    Job Title: Gantry Crane OperatorAt SYCPC, we are seeking a skilled Gantry Crane Operator to join our team. The successful candidate will be responsible for operating the crane under supervision, inspecting the crane to ensure its safety, and performing routine maintenance.Key Responsibilities:Operating the crane under supervision and ensuring safe...

  • Operations Manager

    2 days ago


    Pasig, National Capital Region, Philippines J-K Network Services Full time

    Job Title: Operations ManagerJoin J-K Network Services, a leading IT company providing digital solutions creation and support, as an Operations Manager. We are seeking a highly skilled and experienced professional to oversee multiple teams in the customer care, technical support, and e-commerce industries.Key Responsibilities:Apply the Employee Handbook to...


  • Pasig, National Capital Region, Philippines PARK SECURE MANAGEMENT CORP. Full time

    PARK SECURE MANAGEMENT CORP. Warehouse Custodian Job DescriptionAt PARK SECURE MANAGEMENT CORP., we are seeking a highly skilled and detail-oriented Warehouse Custodian to join our team. The successful candidate will be responsible for ensuring the smooth operation of our warehouse, maintaining accurate inventory levels, and ensuring timely delivery of goods...


  • Pasig, National Capital Region, Philippines PARK SECURE MANAGEMENT CORP. Full time

    PARK SECURE MANAGEMENT CORP. Warehouse Custodian Job DescriptionKey Responsibilities:Optimize warehouse operations to enhance productivity and efficiency.Monitor and report on inventory levels, ensuring accurate tracking and timely delivery of goods and materials.Coordinate the receipt, storage, and distribution of supplies, maintaining suitable inventory...