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Medical Billing Manager

Medical Billing Manager

Crowdsource SolutionsMakati, National Capital Region, PH
15 days ago
Job description

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.

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    Medical Billing Manager • Makati, National Capital Region, PH

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