Medical Biller Sme/ Team Lead

Medical Billing

Revenue Cycle Management (RCM) SME/ Assistant Team Lead

About this Position

If you’ve done medical billing and see yourself leading a team, this is role for you. We are looking for someone who is hungry to learn, a go-getter and has the organization skills to do reporting. You will be setting up this new team where you will be given the opportunity to GROW both the TEAM and the ACCOUNTS

About Neolytix

Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices.

Work with a company where your work can make a real impact!

• We are a boutique company respected and ❤ by our clients providing no-nonsense advice on key issues that impact them.
• 4.7 ⭐ on Google and 4.2 ⭐ on Glassdoor with 80% of approval rating!

Working at Neolytix

At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun!

• Complimentary Medical Coverage for your Family & dependents
• Retirements Savings Plan
• Life & Disability Insurance
• Work with diverse team members across countries & cultures
• Participate in Clubs based on your hobbies and share your passion with like minded enthusiasts

Job Description

Team Lead responsibilities

• Set up and lead a small team of medical billers in our Eastwood site
• Oversees daily operations for the team and deliver high quality and valued services
• Train and coach team members
• Create action plans to improve
• Report on productivity and other metrics

Medical billing team job description

• Medical Billing Specialist is responsible for Posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner.
• Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid.
• Verifying correct insurance filing information on behalf of the client and patient
• Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Follow up on unpaid claims within the standard billing cycle time frame.
• Research and appeal denied claims. (Denial Management)
• Meet individual and departmental standards with regard to quality and productivity.
• Ability to handle protected health information in a manner consistent with the Health Insurance Portability and Accountability (HIPAA).
• Check eligibility and benefit verification.
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
• Monday to Friday
• Basic Pay, Performance Bonus, HMO and Government Benefits

Job Type: Full-time

Pay: Php35,000.00 - Php55,000.00 per month

Benefits:

• Paid training
• Work from home

Application Question(s):

• How many years of leadership experience do you have specifically within the Medical Billing/RCM sector?
• How much is your previous salary?
• How much is your expected salary?
• Are you open to a hybrid work arrangement that requires being onsite in Eastwood, Quezon City twice a week?

Work Location: In person