Medical Billing Manager

4 days ago

Manila, National Capital Region, Philippines Preparation One Sourcing Hub Inc. Full time ₱1,200,000 - ₱3,600,000 per year

Qualifications:

  • Bachelor's degree in Business Administration, Healthcare Administration, or a related field.
  • At least 7 years of experience in medical billing, with 3–5 years in a supervisory or managerial capacity.
  • In-depth knowledge of the Revenue Cycle Management (RCM) process, including charge entry, payment posting, AR follow-up, and denial management.
  • Strong understanding of HIPAA regulations, payer rules, and compliance protocols.
  • Proficiency in Practice Management Software (PMS) and Electronic Health Record (EHR) systems.
  • Excellent leadership skills with proven ability to manage, train, and motivate billing teams.
  • Advanced skills in Excel and data reporting for financial analysis and productivity tracking.
  • Strong communication and problem-solving skills for resolving complex billing and insurance issues.
  • Demonstrated ability to implement process improvements that enhance accuracy, efficiency, and cash flow.
  • Highly organized, detail-oriented, and capable of managing multiple priorities in a deadline-driven environment.

Key Responsibilities:

  • Provide strategic leadership and direction for the medical billing department to ensure accuracy, efficiency, and compliance with regulatory standards.
  • Oversee end-to-end Revenue Cycle Management (RCM), including charge entry, payment posting, AR follow-up, and denial management.
  • Develop, implement, and monitor policies, procedures, and best practices to optimize billing operations and maximize cash flow.
  • Lead, mentor, and evaluate billing supervisors and associates, fostering a culture of accountability, collaboration, and continuous improvement.
  • Ensure strict compliance with HIPAA regulations, payer requirements, and federal/state healthcare billing guidelines.
  • Analyze financial and operational data to prepare detailed reports on billing performance, reimbursement trends, and aging accounts.
  • Partner with senior leadership, clinicians, and insurance providers to resolve escalated billing issues and improve payer relationships.
  • Identify areas for automation or system improvements within Practice Management Software (PMS) and EHR platforms.
  • Monitor key performance indicators (KPIs) such as collections, denial rates, AR days, and reimbursement turnaround times, and implement corrective action when needed.
  • Lead training and development programs to enhance the technical and regulatory knowledge of the billing team.
  • Participate in audits and ensure readiness for internal and external compliance reviews.
  • Contribute to long-term business planning by forecasting billing volumes, staffing needs, and revenue goals.

Work setup: 8pm-5am (Work from home but will transitioned to onsite eventually)

Job Types: Full-time, Permanent

Benefits:

  • Opportunities for promotion
  • Promotion to permanent employee

Work Location: Remote

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