Deskripsi Pekerjaan
Are you a highly experienced and detail-oriented medical billing professional ready to step into a leadership role? Outsourced Quality Assured Services Inc. is seeking a dedicated Medical Billing Supervisor to lead our dynamic claims operations team in the Philippines. This pivotal role is perfect for a process-driven leader passionate about optimizing revenue cycles, ensuring compliance, and driving efficiency in healthcare finance.
As a Medical Billing Supervisor, you will be at the forefront of managing our accounts receivable and claims processes, overseeing a team of skilled billers, and ensuring the seamless flow of financial operations for our healthcare clients. Your expertise will be crucial in maintaining high accuracy rates, resolving complex billing issues, and implementing best practices that contribute directly to the financial health and success of the organization.
Outsourced Quality Assured Services Inc. prides itself on delivering exceptional service and support to our clients globally. We are looking for an individual who can not only manage daily operations but also contribute strategically to process improvements, staff development, and maintaining compliance with evolving healthcare regulations. If you thrive in a fast-paced environment, possess strong analytical skills, and are committed to fostering a collaborative and high-performing team, we encourage you to apply.
Join us and leverage your extensive knowledge of medical billing and claims management to make a significant impact. This is an outstanding opportunity to grow your career within a supportive and professional organization, playing a key role in our continued success and that of our valued clients.
Tanggung Jawab
- Oversee and manage the daily operations of the medical billing and claims processing department, ensuring accuracy and efficiency.
- Lead, mentor, and train a team of medical billers, fostering a collaborative and high-performance work environment.
- Manage the accounts receivable (AR) process, including monitoring aging reports, identifying trends, and implementing strategies for timely collections.
- Ensure strict compliance with all relevant medical billing regulations, payer guidelines (e.g., Medicare, Medicaid, commercial payers), and HIPAA.
- Develop, implement, and refine billing policies and procedures to optimize workflows and reduce errors.
- Investigate and resolve complex claim denials, rejections, and appeals efficiently, identifying root causes to prevent future occurrences.
- Collaborate closely with internal departments and external clients to address billing inquiries and resolve discrepancies.
- Generate and analyze billing reports to identify areas for improvement, track key performance indicators (KPIs), and present findings to management.
Kualifikasi
- Bachelor's degree in Business Administration, Healthcare Management, Finance, or a related field; equivalent work experience will be considered.
- Minimum of 5-7 years of progressive experience in medical billing, with at least 2-3 years in a supervisory or leadership role.
- In-depth knowledge of US healthcare billing regulations, including CMS guidelines, HIPAA, CPT, ICD-10, and HCPCS coding.
- Proficiency in various medical billing software (e.g., Epic, Cerner, NextGen) and electronic medical record (EMR) systems.
- Demonstrated ability to manage a high-volume claims environment and improve revenue cycle efficiency.
- Strong analytical, problem-solving, and decision-making skills with keen attention to detail.
- Excellent communication (written and verbal) and interpersonal skills, with the ability to lead and motivate a team.
- Medical Billing or Coding certification (e.g., CPC, CEMC, CCS-P) is highly preferred.