- Bachelor's Degree in any field.
- Must have at least 5 years of managerial/supervisory experience in managing a healthcare account.
- Must have a background and understanding of medical billing process
- Knowledge in using ERA (Electronic Remittance Advice), Lock Box and EFT (Electronic Fund Transfer).
- Ability to understand logic of standard medical coding guidelines (ICD-10-CM, CPT, HCPCS codes, etc.)
- Background knowledge of Medicare, Medicaid, and Commercial Insurance procedures.
- Excellent oral and written communication skills with ability to communicate effectively with physicians, insurance providers, patients and external vendors.
- High level of accuracy and attention to detail.
- Excellent organization and planning skills, collaboration and partnering skills.
- Ability to maintain confidentiality and adhere to ethical standards which includes knowledge of HIPAA Law.
- Ability to multi-task and make sound decisions and critical judgement quickly in a fluid work environment
- Proficient in using Microsoft Office Applications esp. in creating reports and presentations
- Amenable to work on Night Shift Schedule
- Amenable to Work On-Site (Ortigas Site)
- Insurance Accounts Receivable Representatives
- These representatives are responsible in providing the highest quality of customer service and accounts receivable management to our patients by embracing the WellCare Guiding Principles. - Certified Professional Coders
- These professionals are responsible to abstract and identify the correct CPT and ICD-10 codes from various encounter forms and medical reports and file claims to insurance providers for timely and accurate reimbursement. - Payment Posting Representatives
- These representatives are responsible to outline the expectations for all employees or contractors who receive cash payments, check payments, or electronic remittance advice (ERA's) payments that should be posted to the AR, General Ledger, or any other source that may require payment posting receipt(s). - Eligibility and Benefits Representatives
- These representatives are responsible in verifying all scheduled appointment/patient's insurance coverage. the verification process includes provider credentialing with the health plan, checking of eligibility status, effective date, other health insurance or coordination of benefits, patient cost share responsibility (co-pays, co-ins or deductibles). -
Operations Manager
5 araw ang nakalipas
Ninja Van Philippines, Manila, Pilipinas Buong orasNinja Van is a tech-enabled logistics company on a mission to provide hassle-free delivery services for businesses of all sizes across Southeast Asia. Launched in 2014, we started operations in Singapore and have become the region's largest and fastest growing last-mile logistics ...
-
Operations Manager
2 linggo ang nakalipas
Cotiviti Philippines Inc Manila, PilipinasPOSITION DESCRIPTION · JOB TITLE: Operations Manager – Clinical Validation · REPORTS TO: Sr. Manager/AVP · PRINCIPLE PURPOSE OF JOB · We are currently seeking an Ops Manager to support a growing client base and manage the dayto-day operational activities of the production tea ...
-
Operations Manager
3 araw ang nakalipas
ACCPRO INTERNATIONAL Manila, Pilipinas Buong orasOperations ManagerJob Description · • Performance Managemento Create/Formulate Key Performance Indicators from the Key Results Area which will be used by theteam to measure performance.o Monitors daily tasks based on Key Performance Indicatorso Ensure all deliverables are sent wi ...
-
Operations Manager
5 araw ang nakalipas
Cobden and Carter International Inc Metro Manila, PilipinasLocation: Pasig | Onsite · Schedule: Shifting Schedule · Qualifications:Graduate of Any 4 year course · Work experience in the same or related role for at least 3 years · Preferred exposure in the multinational BPO / Call Center industry · Six Sigma Certification is an advant ...
-
Operations Manager
2 linggo ang nakalipas
Fredley Group of Companies Manila, PilipinasCompany Description · About Fredley Group of Companies · We are a food and restaurant service established in 2014 by one of the youngest entrepreneurs in the Philippines, Avin Ong. We are a Philippine-based master franchise of more than 205 restaurants and cafes nationwide. These ...
-
Operations Manager
3 araw ang nakalipas
Courtly Manila, Pilipinas Buong orasCourtly is the leader in online marriage—making it possible for any couple around the world to get legally married online, 24/7. From obtaining a marriage license to performing the ceremony, Courtly is bringing the aisle online for couples in the 21st century—regardless of their ...
-
Operational Risk Management
5 araw ang nakalipas
SeaBank Philippines, Inc. (A Rural Bank) Philippines, Manila, Pilipinas Buong orasJob Description · The Operational Risk Management Lead, as part of the second line of defense, shall provide an independent oversight to the operational risk management activities of the Bank. He/She shall assist the Senior Management in meeting its responsibility in ensuring tha ...
-
Senior Operations Manager
5 araw ang nakalipas
Hogarth Philippines Metro Manila / NCR, Pilipinas Buong orasThe Senior Operations Manager oversees, supports, and manages the delivery of creative and adaptation projects. Understanding all thecreative and adaptation process elements from end-to-end. · Responsibilities: Managing the day-to-day running of the Studios; managing all operati ...
-
Visa Operations Manager
2 araw ang nakalipas
Bescholar Manpower Services Inc. Manila, Pilipinas ContractVISA OPERATIONS MANAGERQUALIFICATIONS:- Bachelor's degree in related field- Experience in Visa Management and Consultancy Operations.- Wide knowledge in the application and interpretation of legislation, preferably in an Immigration context.- Proven analytical and problem-solving ...
-
Area Operations Manager
3 linggo ang nakalipas
Monroe Consulting Phils., Inc. Manila, Pilipinas Buong orasExecutive search firm Monroe Consulting Group is recruiting on behalf of a group of restaurants company. Our respective client is looking for a Area Operations Manager. As a Restaurant Operations Manager, you will play a pivotal role in ensuring the smooth and efficient functioni ...
-
Restaurant Operations Manager
1 linggo ang nakalipas
Monroe Consulting Group Manila, Pilipinas· Executive search firm Monroe Consulting Group is recruiting on behalf of a group of restaurants company. Our respective client is looking for a Restaurant Operations Manager.As a Restaurant Operations Manager, you will play a pivotal role in ensuring the smooth and efficient f ...
-
Operations Manager
5 araw ang nakalipas
Security Paper Sales Corporation Caloocan, PilipinasJob Description: · * Analyze business performance and present reports to senior management · * Coordinate deliveries and manage inventory to ensure timely product delivery · * Lead recruitment and manage staffing, including training and termination · * Negotiate sales deals, mai ...
-
Plant Operations Manager
5 araw ang nakalipas
Welding Industries of the Philippines, Inc. Metro Manila / NCR, Pilipinas Buong oras-Controls and directs plant operations including purchasing in consonance with the corpoprate goals set by the Presiden/CEO o EVP.-Direct the operaions of the Purchasing Department for prompt and continuous supply of raw materials, factory and office supplies and similar request ...
-
Operations Manager
1 linggo ang nakalipas
Foodee global concepts Mandaluyong, Pilipinas Buong orasOperations Managers oversee operational activities at every level of an organization.Duties include hiring and training employees and managing quality assurance programs.Long-term planning to create initiatives that further the company's overall goalsCoordinating different teams ...
-
Operations Manager
2 araw ang nakalipas
TASQ Staffing Solutions Mandaluyong, Pilipinas Buong orasTASQ Staffing Solutions is currently recruiting for an Operations Manager position for a music streaming account in Mandaluyong City.Qualifications for this role include:Holding a Bachelor's DegreeHaving three years of operations and management experience (with process transforma ...
-
Operations Manager
1 linggo ang nakalipas
John Clements Japan Desk (PERSOL PHILIPPINES) Mandaluyong, Pilipinas Buong orasRole: Responsible for Property Management ProjectsBusiness Planning and Organizational Structure DevelopmentJob Description:Establishing the organizational structure necessary for project management, defining the functions of each positionDeveloping staffing plans for each projec ...
-
Revenue Cycle Operations Manager
5 araw ang nakalipas
Microsourcing Philippines Inc Metro Manila / NCR, Pilipinas Buong orasManager is responsible for managing the Insurance Accounts Receivable Representative's primary responsibility is to provide the highest quality of customer service and accounts receivable management to our patients by embracing the Well Care Guiding Principles. The representative ...
-
BPO Senior Operations Manager
1 linggo ang nakalipas
Manpower Core Group Inc. Manila, Pilipinas Buong orasYou will conduct client program training and reinforcement training for new hires. You will also guide our newbies in their A-bay training up to their nesting period.In greater details, here are the tasks that you will be responsible for: Responsible for consistently delivering h ...
-
Social Media Operations Manager
3 araw ang nakalipas
Mechat manila, PilipinasPosition Description: · 1. Develop and execute content strategies, responsible for the daily operation of accounts on platforms such as Facebook, Twitter, Instagram, and TikTok, continuously update and improve account content and interaction. · 2. Participate in planning creative ...
-
Operation manager
3 araw ang nakalipas
Aimsen Business Consultancy Pasay, PilipinasBistro/Pub industry · Working time 4 pm -2 AM · Day off :2 day off per month · Location:shore 3 , pasay · Salary:30k-40k peso · Nationality:Filipino · Stay out without free food · JD: must have related working experience ...
Operations Manager - Metro Manila, Pilipinas - Microsourcing Philippines Inc
Paglalarawan
With over 7,000 professionals across 9 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider.Revenue Cycle Manager, be 100% YOU with MicroSourcing
Position Summary:
The Revenue Cycle Manager will be responsible in overseeing the areas of medical coding, billing and insurance-related processes (claims, appeals, denials, eligibility and benefits etc.)
Qualifications:
The Revenue Cycle Manager will be responsible for the following FTEs: