Medical Billing Team Lead

4 days ago

Clark Freeport Zone Pampanga, Philippines JOBS360 Full time

Revenue Cycle Team Lead

Roles and Responsibilities

  • Manage and monitor daily team performance to ensure productivity and accuracy in billing operations.
  • Provide daily guidance, coaching, and support to team members based on performance reviews.
  • Prepare, review, and transmit clinical charges, including updating procedure and diagnosis codes in computer systems.
  • Maintain and balance daily input and accounts receivable system.
  • Verify eligibility and benefits for treatments, hospitalizations, and procedures.
  • Review patient bills for accuracy and completeness, obtaining any missing information as needed.
  • Check insurance payments for accuracy and compliance with contract discounts.
  • Contact insurance companies regarding payment discrepancies when necessary.
  • Research and appeal denied claims promptly.
  • Answer patient and insurance inquiries related to assigned accounts.
  • Collect delinquent accounts by establishing payment arrangements and following up on lapses.
  • Communicate special billing rules to the appropriate individuals.
  • Maintain strict patient confidentiality in compliance with HIPAA regulations.
  • Maintain and update contract and credentialing information with insurance payers for providers and clinics.

Required Experience

  • 3–5 years of experience in medical practice billing.
  • At least 2 years of experience in a Team Lead role.
  • Prior experience with Electronic Health Record (EHR) systems.

Minimum Qualifications

  • Proficiency in Microsoft Office applications.
  • Familiarity or certification in CPT and ICD-10 coding.
  • EHR experience required; experience with eCW, athenahealth, or NexGen preferred.

A Successful Candidate Must Have

  • Strong problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
  • Excellent customer service and communication skills when dealing with patients, providers, and insurers.

Proficient With

  • Computer systems, billing software, and 10-key calculators.
  • Organizing, analyzing, and reporting accurate and complete billing data.

Experience Advantage

  • Demonstrated ability to work in a fast-paced environment and manage multiple priorities effectively.
  • Strong attention to detail, organizational skills, and willingness to cross-train in different billing functions.

ShoreXtra Perks

  • Day 1 HMO Coverage
  • Nightshift schedule
  • Fixed Weekends off
  • Game lounge
  • Engaging monthly activities
  • Free and unlimited barista-style coffee
  • Free parking and shuttle services
  • Employee referral incentives

  • Medical Billing Team Lead

    4 days ago

    Clark Freeport Zone, Philippines Shore360, Inc Full time

    Revenue Cycle Team LeadRoles and ResponsibilitiesManage and monitor daily team performance to ensure productivity and accuracy in billing operations.Provide daily guidance, coaching, and support to team members based on performance reviews.Prepare, review, and transmit clinical charges, including updating procedure and diagnosis codes in computer...

  • Medical Concierge Representative

    4 days ago

    Clark Freeport Zone, Philippines The Medical City Full time

    Responsible for all healthcare and service arrangements for international (foreign) and local admitted patientsMonitoring the said patients' pre-admission, admission, and postAttends to telephone, electronic, and personal inquiries on the hospital's products and servicesFacilitates billing to and and reimbursement activities related to local insurance...

  • Medical Transcriptionist

    2 days ago

    Clark Freeport Zone, Philippines The Medical City Full time

    The Medical City Clark is now hiring for MEDICAL TRANSCRIPTIONIST. Don't miss this chance as we give you great career opportunitiesApply now and be part of our teamQualifications:- Nursing Graduate or Any Allied Graduate- Willing to be assigned in Clark, Pampanga- With experience in hospital or clinical set-up- Familiar with patient's chart, medications and...

  • Billing Officer

    2 days ago

    Clark Freeport Zone, Pampanga, Philippines JOBS360 Full time ₱400,000 - ₱600,000 per year

    TK Elevator AustraliaEstablished in 1996 following the acquisition of City Elevator, TK Elevator Australia installs, maintains, and modernizes elevators and escalators in Australia. We have a strong presence in various segments, such as office, education, and hospital. We are committed to working together to make cities the best places to liveAbout the...

  • Accounting Team Lead

    2 days ago

    Clark Freeport Zone, Pampanga, Philippines JOBS360 Full time ₱900,000 - ₱1,200,000 per year

    TK Elevator AustraliaEstablished in 1996 following the acquisition of City Elevator, TK Elevator Australia installs, maintains, and modernises elevators and escalators in Australia. We have a strong presence in various segments, such as office, education, and hospital. We are committed to working together to make cities the best places to liveAbout the...

  • Billing Officer

    3 days ago

    Clark Freeport Zone, Philippines Shore360, Inc Full time ₱540,000 - ₱600,000 per year

    TK Elevator AustraliaEstablished in 1996 following the acquisition of City Elevator, TK Elevator Australia installs, maintains, and modernizes elevators and escalators in Australia. We have a strong presence in various segments, such as office, education, and hospital. We are committed to working together to make cities the best places to liveAbout the...

  • Medical Doctor

    4 days ago

    Clark Freeport Zone, Pampanga, Philippines dnata Travel Inc. Full time

    Job Purpose:The Pre-Approval Officer - Medical Benefits will work within the Medical Benefits team and will be responsible for issuance of pre-approvals to medical providers for specific services mentioned in the contractual SOP. The role holder will manage telephone and system approvals and be responsible for confirming cover based on member's eligibility,...

  • Accounting Team Lead

    2 days ago

    Clark Freeport Zone, Philippines Shore360, Inc Full time ₱1,200,000 - ₱1,440,000 per year

    TK Elevator AustraliaEstablished in 1996 following the acquisition of City Elevator, TK Elevator Australia installs, maintains, and modernises elevators and escalators in Australia. We have a strong presence in various segments, such as office, education, and hospital. We are committed to working together to make cities the best places to liveAbout the...

  • Pharmacist / Nurse - Medical Benefits

    4 days ago

    Clark Freeport Zone, Pampanga, Philippines dnata Travel Inc. Full time

    Job Title: Medical Claims ProcessorMinimum requirements:Applicants must be willing to work and relocate to Clark, Pampanga.Applicants must be a Filipino citizen or have a relevant residence status.With Bachelors Degree in Nursing or Midwifery.Registered Nurse/Midwife/Dental Nurse/PharmacistMinimum of 2 years hospital experience as Staff Midwife, Staff Nurse...

  • Healthcare Team Lead

    6 days ago

    Clark Freeport Zone, Philippines J-K International Language Center Full time ₱360,000 - ₱540,000 per year

    Client Company: A well-established IT and Engineering firm with a 40-year history, delivering comprehensive end-to-end solutions across multiple sectors, including finance and healthcare.Position: Healthcare Team LeadIndustry: BPOLocation: Clark PampangaPostal: 2023Salary Offer: Php45,000 basicWork Schedule: Night shift – US timelineWork Set Up:...