Senior Medical Billing Lead - Night Shift, Makati

ISTA Solutions; Manila; On-site; PHP 420,000 - 660,000; Full time

Benefits offered by this job

Health Insurance

Night Shift Pay

Paid Time Off

Career Growth

Job summary

ISTA Solutions in Manila is seeking an experienced Senior Medical Billing Specialist to join our team of professionals who value work-life balance and continuous learning. You will oversee end-to-end billing processes for SNF, HMO, Medicare, Medicaid, and commercial plans while guiding a skilled billing team.

This onsite role in Buendia, Makati requires strong knowledge of CMS guidelines, denial management, and AR follow-up.

Qualifications

• Minimum 2 years of U.S. medical billing experience in a BPO setting.
• At least 6 months of team lead or supervisory experience.
• At least 1 year of SNF billing experience.
• Experience with HMO, Medicare, Medicaid, and commercial insurance.

Responsibilities

• Oversee end-to-end medical billing, including claim submission and denial management.
• Lead and coach the billing team, monitor productivity and accuracy.
• Process SNF, HMO, and other payer claims with compliance to CMS guidelines.
• Ensure timely filing and payment posting; perform AR follow-up.
• Maintain HIPAA compliance and documentation.

Skills

BPO U.S. Medical Billing

Team Lead

SNF Billing

Medicare Part A

Medicare Part B

Medicaid

COB

Denial Management

Onsite Night Shift

English Communication

Tools

Clearinghouses

Payer Portals

ERA/EOB Reconciliation

Job description

ISTA Solutions in Manila is seeking an experienced Senior Medical Billing Specialist to join our team of professionals who value work-life balance and continuous learning. You will oversee end-to-end billing processes for SNF, HMO, Medicare, Medicaid, and commercial plans while guiding a skilled billing team.

This onsite role in Buendia, Makati requires strong knowledge of CMS guidelines, denial management, and AR follow-up.