3 Medical Billing jobs in the Philippines

Certified Medical Biller and Coder MBVA 24/7

Batangas City, Batangas Mbva247

Posted 10 days ago

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Job Description

Job Title: Certified Medical Biller and Coder

Hourly Rate: TBD

Start Date: ASAP

Full Time

Position Overview:

As a Certified Medical Biller and Coder, you will play a critical role in ensuring accurate and timely submission of medical claims. Your expertise in medical coding and billing processes will help optimize revenue cycles while maintaining compliance with regulatory standards. This is an opportunity to make a significant impact on our organization’s financial operations and the quality of service we provide to our clients.

Job Responsibilities:
  • Analyze and abstract medical information from patient records for physician/NP visits and home health start-of-care visits.
  • Accurately code diagnostic and procedural information in compliance with ICD-10, Home Health PDGM, CPT-4, HCPCS, MS-DRGs, APCs, and POAs, following national coding guidelines.
  • Document essential patient information, including medication history, medical history, active diagnoses, and preventive care screens.
  • Consult with medical providers to identify potential missing HCC diagnoses and ensure accurate documentation and code assignment.
  • Review claims data to verify accurate coding and billing for all services and procedures.
  • Collaborate with healthcare professionals to improve documentation, coding accuracy, and compliance.
  • Stay current with changes in coding regulations and provide education and training as needed.
  • Participate in Quality Assurance/Quality Improvement initiatives.
  • Assist the Clinical Director in developing and achieving key performance indicators related to coding accuracy and compliance.
  • Develop and maintain effective communication with clinical staff, insurance plans, and hospital systems.
  • Assist with billing and credentialing tasks as needed.
  • Maintain confidentiality and safeguard patient information.
Qualifications:
  • Background in a medical field.
  • Proficient in the English language, both written and verbal.
  • Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) from AAPC or AHIMA (preferred, not required).
  • At least 2 years of experience in medical coding and billing, with a focus on physician and home health coding.
  • Knowledge of medical terminology, anatomy, and physiology, as well as coding systems and guidelines (ICD-10, CPT-4, HCPCS).
  • Strong analytical skills and attention to detail.
  • Proficiency with coding software, tools, and EHR systems.
  • Knowledge of regulatory requirements and compliance standards.
  • Excellent communication skills and ability to collaborate with healthcare professionals.
Hardware and Software Requirements: Hardware:
  • AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU
  • 16GB DDR4 RAM
  • 120 – 480gb SSD
  • Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset
  • 1 – 2 Monitors (at least 21in)
  • 1080p HD Webcam
  • Internet Speed: 50mbps (Fiber/DSL) LTE not accepted
Software:
  • Genuine Windows 10 Licensed Computer
  • Microsoft Office Suite
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Senior Team Lead, Medical Billing, AR & Denial Management

Muntinlupa, National Capital Region Gear Inc

Posted 22 days ago

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Job Description

The STL is expected to mentor team leaders, manage escalations, guide productivity, and help improve operational workflows based on data insights and volume trends. They serve as a key link between operations, quality, training, and client-facing functions.

RESPONSIBILITIES

  • Lead, coach, and mentor multiple Team Leads and their AR specialists.
  • Conduct regular touchpoints, performance reviews, and one-on-one check-ins to guide development and reinforce process standards.
  • Collaborate with the QA/Training team to ensure new process updates, payer guidelines, or regulatory changes are cascaded effectively.
  • Monitor roster adherence, shrinkage, and floor coverage to ensure staffing efficiency.
  • Participate in calibration sessions and collaborate with stakeholders to drive process consistency and best practices.
  • Use operational reports and dashboards to analyze productivity, identify gaps, and implement improvement plans.
  • Support the rollout of new tools, documentation practices, and training initiatives.
  • Ensure that team KPIs such as Call per hour target, productive hours and accuracy.
  • Prepare performance and trend reports to share with clients or leadership, including recommendations for continuous improvement.
  • Be approachable and available to team members, promoting open communication and support.
  • Promote a culture of collaboration, accountability, and continuous learning.

JOB REQUIREMENTS

  • Bachelors degree or equivalent work experience
  • Fluent in English (C1 level or above), with strong communication and leadership skills.
  • Minimum 2 to 3 years of experience in healthcare AR, revenue cycle, or medical billing, with at least 1 year in a leadership role.
  • In-depth knowledge of billing practices, payer guidelines, denial management, and compliance standards (e.g., HIPAA).
  • Strong analytical, decision-making, and problem-solving skills.
  • Comfortable using billing systems, claim portals, and productivity monitoring tools.
  • Ability to thrive in a fast-paced, client-driven environment.
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Senior Team Lead, Medical Billing, AR & Denial Management

Muntinlupa, National Capital Region Gear Inc

Posted 3 days ago

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Job Description

Job Information:

You are in charge of leading and supervising a group of content moderators. Guarantee that content guidelines are followed, a secure and polite online environment is maintained, and any platform policy violations are addressed, this function entails monitoring and directing the moderating staff.

The Senior Team Leader for Moderation is crucial in preserving the integrity of online platforms and making sure that users are treated with respect and safety. To address new concerns and maintain round-the-clock moderation coverage, this role may entail working erratic hours, including evenings and weekends.

Location : Muntinlupa, Metro Manila, Philippines (Full-time & On-site)

Key Responsibilities:

  • Manage, inspire, and mentor a group of content moderators along with TLs.

  • Hold regular team meetings, evaluate performance, and offer helpful criticism.

  • Manage escalations and challenging situations while advising and supporting moderators.

  • Make sure that all content moderation tasks are completed smoothly and effectively.

  • Keep up with platform rules and regulations and make sure the team follows them.

  • Keep an eye on the correctness and quality of the content, pointing out any shortcomings.

  • Implement quality assurance procedures to uphold strict criteria for moderation.

  • To ensure consistency and correctness, conduct audits and evaluations of the moderator's actions.

  • Conduct briefings & process updates to the team to improve their abilities.

  • Work together to update and improve the content rules and policies with the content policy team.

  • Inform the moderation of any modifications to the policy.

  • Manage client escalations and reverts to the client mails immediately.

  • Should make himself approachable for moderators.

  • Report any issue, challenges directly to the reporting manager immediately.

  • Will be responsible for checking the roster adherence of moderators and managing shrinkages of the floor.

  • Leading team meetings, asking questions to Teamleaders, moderators to better understand the representatives are receiving, educating and coaching workers regarding processes and practices, and explain expectations to moderators.

  • Assisting the team members in identifying trend analysis and establishing call center goals.

  • Ensure the team members are achieving daily productivity and desired service levels as per the KPIs and incase of any deviation correct action plan to be shared.

  • Prepare reports and analyze call center data to improve processes, ensure resources are properly allocated based on the volume trend analysis and maximize the call center efficiency.

  • Attention to details, decisiveness & soft spokenness.

  • Proficiency with the necessary technology, including computers, software applications, phone systems, etc.


Qualifications and Requirements:

  • A bachelor's degree in a field (such as communications, psychology, sociology, or a similar field) that is applicable.

  • Fluent in English. At least C1 level.

  • Excellent verbal and written communication skills in English and Bengali, with the ability to express ideas clearly and concisely.

  • A track record in content moderation or a related industry.

  • Strong team management and leadership abilities.

  • Excellent interpersonal and communication abilities.

  • Proficiency with software and tools for moderating.

  • Problem-solving and analytical thinking skills.

  • Understanding of the rules and regulations for internet platforms.

  • Ability to manage delicate material and perform under pressure.

  • Knowledge of the moral and legal issues involved in content moderation.

Benefits:

  • Competitive salary and benefits package.

  • Opportunities for professional development and continuing education.

  • Fulfilling and rewarding work helping individuals improve their mental well-being.

  • Contribution to the overall mental health and wellness of the community.

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