Medical Billing Team Lead

• Lead and manage a team of medical billers and AR staff in processing end-to-end revenue cycle tasks, including charge entry, claim submission, insurance verification, and denial resolution.
• Review billing output and audit claim submissions for accuracy, appropriate use of CPT and ICD-10 codes, and adherence to payer guidelines.
• Ensure that claims are submitted promptly through the billing system and proactively monitor outstanding accounts receivables.
• Investigate and resolve claim rejections or denials by coordinating with insurance companies and internal departments.
• Manage daily work allocation, monitor productivity, and track key billing metrics (e.g., claim turnaround, denial rates, collections).
• Conduct regular team meetings and training to keep the billing team updated on changes in policies, payer rules, or regulatory updates.
• Act as the first point of escalation for complex or delayed claims, providing hands-on support for resolution.
• Collaborate with the Billing Manager and cross-functional teams to implement process enhancements and meet revenue goals.
• Provide coaching, feedback, and performance evaluations for billing staff; support the hiring, onboarding, and ongoing development of team members.
• Ensure compliance with company policies, HIPAA regulations, and billing best practices.
• Prepare and submit routine performance reports to management and support project-based initiatives.

• Strong knowledge of US healthcare billing practices, payer policies, and claims submission processes.
• Hands-on expertise in CPT, ICD-10, and HCPCS coding; familiarity with Medicare, Medicaid, and commercial insurance guidelines.
• Solid understanding of EHR and billing systems (e.g., Office Ally, Availity, Kareo, Prompt, or equivalent platforms).
• Proficient in AR follow-up, denial management, and payment posting.
• Excellent leadership and team management skills with the ability to coach and mentor staff.
• Strong analytical and problem-solving skills with attention to detail and accuracy.
• Effective verbal and written communication skills.
• Ability to handle multiple priorities and deadlines in a fast-paced environment.
• Commitment to maintaining confidentiality and professionalism in handling patient data and records.

• Ideal start date: ASAP
• Schedule: Monday to Friday, 10:00 PM to 7:00 AM
• Work Location: Remote (Quezon City, PH)
• Job Type: Full-time
• Salary: Php 45,000 - 50,000 per month

• Equipment is not provided
• Paid leave: Sick, Paternity, Annual, and Public holidays
• New hires begin as contractors for the first two months before being reviewed for direct employment

• All employees must undergo a background check, and continued employment is dependent on its outcome.
• English proficiency is required.

RML-PH