Revenue Cycle Team Lead

JOBS360; Pampanga; On-site; PHP 800,000 - 1,000,000; Full time

Job summary

A medical billing service provider in Pampanga is seeking a Team Lead for their billing department. You'll be responsible for leading team performance and managing clinical charges. The ideal candidate will have experience in medical billing and strong problem-solving skills, as well as the ability to communicate effectively with both patients and insurers. This position offers various perks including HMO coverage from day one and weekends off.

Benefits

HMO Coverage starting Day 1

Nightshift schedule

Weekends off

Silver tier employee referral incentives

Qualifications

• 3 to 5 years of experience in medical billing.
• Minimum of 2 years in a supervisory or Team Lead role.
• Familiarity or certification in CPT and ICD 10 coding.

Responsibilities

• Lead and monitor daily team performance to ensure productivity and accuracy.
• Provide coaching and performance feedback to team members.
• Prepare and submit clinical charges including updates to codes.
• Verify patient eligibility and benefits for treatments.
• Manage delinquent accounts and set payment arrangements.

Skills

Problem solving

Analytical skills

Communication skills

Customer service skills

Tools

Electronic Health Record systems

Microsoft Office

Billing software

Job description

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