Medical Billing Team Lead

2 weeks ago

Work from Home, Philippines Shore360, Inc Full time ₱60,000 - ₱80,000 per year

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
  • Work-from-home
  • Employee referral incentives

Job Types: Full-time, Permanent

Benefits:

  • Health insurance
  • Paid training
  • Promotion to permanent employee
  • Work from home

Experience:

  • Medical Billing: 3 years (Required)
  • Team Lead: 2 years (Required)
  • Electronic Health Record System: 2 years (Required)

Work Location: Remote

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