CEBU CITY BASED - Medical Billing Manager

HEALTHCARE MEDICAL BILLING INDUSTRY

** Applicants should be a resident of Cebu or willing to work in Cebu**

This is a hybrid setup job. The ideal candidate would have 5-8 years of medical billing experience with progressive
responsibilities. Strong critical thinking skills and ability to demonstrate analytical
problem-solving skills. Previous experience leading a Upgrade to see actual infolegation of work as
appropriate. Solving at the lowest level possible.  Audit experience with the ability to coach
in person or remotely. Multi-specialty experience preferred.
 
General understanding of the full revenue cycle Upgrade to see actual infoep understanding of payer
requirements and ability to identify payer policies. Oral and written communication skills.
Ability to follow client directives.

Prior Experience with:

o Claims submission
- Electronic and paper

o Clearinghouse rejections
- Prior experience working with multiple clearinghouses
- Ability to troubleshoot submission errors 
- General understanding of electronic loops and segments

o Payment Posting
- Experienced with electronic and paper payment processing
- Extensive experience with denials and bundled procedures with the ability to
distinguish between denials that should be adjusted versus appealed

o Extensive A/R (Accounts Receivable) Experience
- Denials
- A/R Follow up
- Detailed notes following outlined format
- Experience with flat ratepayers