Revenue Cycle Team Lead

2 weeks ago

Clark Freeport Zone Pampanga, Philippines JOBS360 Full time ₱600,000 - ₱800,000 per year
Roles and Responsibilities
  • Lead and monitor daily team performance to ensure productivity and accuracy.
  • Provide coaching, guidance, and performance feedback to team members.
  • Prepare, review, and submit clinical charges including updates to procedure and diagnosis codes.
  • Maintain and reconcile daily inputs and accounts receivable records.
  • Verify patient eligibility and benefits for treatments, hospitalizations, and procedures.
  • Review patient bills for completeness and accuracy, securing any missing details as needed.
  • Validate insurance payments to ensure accuracy and contractual compliance.
  • Communicate with insurance payers to address payment discrepancies.
  • Research and appeal denied claims promptly.
  • Respond to patient and insurance inquiries related to assigned accounts.
  • Manage delinquent accounts by setting payment arrangements and conducting follow ups.
  • Communicate special billing rules to the appropriate internal teams.
  • Ensure patient confidentiality is maintained in compliance with HIPAA standards.
  • Maintain and update credentialing and contract information for providers and clinics.
Required Experience
  • 3 to 5 years of experience in medical billing.
  • Minimum of 2 years in a supervisory or Team Lead role.
  • Hands on experience with Electronic Health Record (EHR) systems.
Minimum Qualifications
  • Proficiency in Microsoft Office tools.
  • Familiarity or certification in CPT and ICD 10 coding.
  • Experience with eCW, athenahealth, or NexGen is a strong advantage.
A Successful Candidate Must Have
  • Strong problem solving and analytical skills to resolve billing discrepancies, denials, and appeals.
  • Excellent communication and customer service skills when dealing with patients, insurers, and providers.
Technical Proficiency
  • Experienced in billing software, computer systems, and 10 key calculators.
  • Skilled in organizing, analyzing, and reporting accurate billing data.
Experience Advantage
  • Ability to excel in a fast paced environment and handle multiple priorities.
  • Strong attention to detail and eagerness to cross train across billing functions.
ShoreXtra Perks
  • HMO Coverage starting Day 1
  • Nightshift schedule
  • Weekends off
  • Silver tier employee referral incentives

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