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Medical Billing Manager Jobs in Puerto Rico (NOW HIRING)

PR · On-site

$15 - $19.25/hr

Medical Billing Certification or equivalent to 2 years of billing experience. ***Equal Opportunity Employer M/F/V/D*

Senior Billing Specialist (Remote)

PR · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Excellent organizational and time management skills * Strong working knowledge of Microsoft Office ... Health Insurance- medical, dental, vision & pharmacy benefits. (Employer contribution included)

PR · On-site

... Manager. * Support internal and external audits related to PBM accounts receivable. Requirements: * Associate's degree in Medical Billing and Coding, Health Services Administration, Medical Office ...

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

They play a crucial role in ensuring that the organization receives proper reimbursement for medical services provided to patients. This involves managing the billing and collections process ...

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

They play a crucial role in ensuring that the organization receives proper reimbursement for medical services provided to patients. This involves managing the billing and collections process ...

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

They play a crucial role in ensuring that the organization receives proper reimbursement for medical services provided to patients. This involves managing the billing and collections process ...

Epic Denials Management Operator

San Juan, PR · Remote

$17.75 - $23.50/hr

Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ... Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment * Strong ...

Pharmacy Manager

Dorado, PR · On-site

$161.75/hr

Refers to the medical provider, as needed, to ensure medication is taken correctly, health needs ... billing, clinical documentation, training, inventory management, and point of sale registers.

New

SAP BRIM Consultant, Manager

San Juan, PR

$99K - $232K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Subscription Billing (BRIM), SAP Entitlement Management, and SAP S/4 Sales and Distribution ... PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation ...

Conducts clinical reviews and analyses of complex medical records, ancillary services, appeals, and ... Identifies cost-containment opportunities, inappropriate billing patterns, overpayments, and ...

New

PR · On-site

Present monthly result of profitability to Top Management. Required: * NCPDP and medical claims billing - experience (1 year) * Excel- Basic (Required) ***Equal Opportunity Employer M/F/V/D*

New

Associate Customer Service

Arecibo, PR · On-site

$12.50 - $17.25/hr

  • Medical

  • Life

  • Retirement

... the CRM division at first shift- . As a global leader in Medical Devices Technologies. Provide ... Research and prepare billing corrections when required, to ensure proper billing and correct ...

Associate Customer Service

Arecibo, PR · On-site

$12.50 - $17.25/hr

  • Medical

  • Life

  • Retirement

... the CRM division at first shift- . As a global leader in Medical Devices Technologies. Provide ... Research and prepare billing corrections when required, to ensure proper billing and correct ...

Project Accountant

Barceloneta, PR

$16/hr

  • Medical

  • Dental

  • Vision

  • Retirement

... Managers with project cost reports, financial information, and support for billing and payment ... medical, dental, vision, 401k and any statutory sick pay where required. We are committed to ...

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Showing results 1-20

Medical Billing Manager information

What does a medical billing manager do?

A Medical Billing Manager oversees the billing processes in a healthcare facility, ensuring that medical claims are submitted accurately and promptly to insurance companies and patients. They supervise billing staff, resolve discrepancies, and ensure compliance with healthcare regulations and coding standards. Additionally, they work to maximize revenue by minimizing billing errors and denials, and often collaborate with other departments to streamline billing procedures.

What does a medical billing manager do?

Medical billing managers process insurance claims and manage the billing department of a physician’s office or health care facility. As a medical billing manager, your responsibilities include negotiating insurance contracts with insurance companies, tracking payments made by insurance agencies and patients, and hiring and training new employees in the billing department. Medical billing involves detailed coding, and as manager, you must ensure your staff understands and follows coding procedures, and that all medical chart codes are accurate.

What are the key skills and qualifications needed to thrive as a medical billing manager?

To thrive as a Medical Billing Manager, you need comprehensive knowledge of medical billing and coding procedures, insurance regulations, and a background in healthcare administration, often supported by certifications like CMRS or CPC. Familiarity with billing software, electronic health record (EHR) systems, and revenue cycle management tools is essential. Strong leadership, attention to detail, and effective communication skills help manage teams and ensure error-free billing operations. These skills are crucial for maintaining financial accuracy, regulatory compliance, and efficient healthcare reimbursement processes.

What are some common challenges medical billing managers face in maintaining accurate and timely reimbursements?

Medical Billing Managers often encounter challenges such as staying updated with frequently changing insurance regulations, managing claim denials, and ensuring timely follow-up on outstanding accounts. They must coordinate with both clinical staff and insurance companies to resolve discrepancies, which requires excellent communication and problem-solving skills. Implementing effective workflows and training team members on the latest compliance standards are key strategies to minimize errors and optimize reimbursement rates.

What is the difference between Medical Billing Manager vs Medical Billing Specialist?

AspectMedical Billing ManagerMedical Billing Specialist
CertificationsCPB, CPC, or equivalentCPB, CPC, or equivalent
Work EnvironmentSupervisory role overseeing billing teamsPerforming billing and coding tasks
ResponsibilitiesManaging billing processes, staff, and complianceSubmitting claims, coding, and data entry
Industry UsageHealthcare providers, hospitals, clinicsHealthcare providers, clinics, billing companies

The Medical Billing Manager oversees billing teams and manages billing operations, while the Medical Billing Specialist focuses on executing billing and coding tasks. Both roles require similar certifications and work in healthcare settings, but the manager has a supervisory role, ensuring accuracy and compliance across the billing process.

What are the most commonly searched types of Medical Billing jobs in Puerto Rico?

The most popular types of Medical Billing jobs in Puerto Rico are:

What are popular job titles related to Medical Billing Manager jobs in Puerto Rico?

For Medical Billing Manager jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Medical Billing Manager jobs in Puerto Rico look for?

The top searched job categories for Medical Billing Manager jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Medical Billing Manager jobs?

Cities in Puerto Rico with the most Medical Billing Manager job openings:

Medical Billing - Payment Reconciliation, Guaynabo PR

Alivia Health

PR • On-site

$15 - $19.25/hr

Full-time

Re-posted 19 days ago


Job description

Location: Guaynabo PR

The Payment Reconciliation Specialist is responsible for performing complete reconciliation of payments from Health Plans, Foundations, and patients. Their role ensures that all payments received are validated, correctly applied in the billing systems, accurately documented, and reported in a timely manner. This role is critical to the financial integrity of the revenue cycle and to the operational compliance of the department.

Responsibilities:

  • Perform electronic and manual reconciliation of payments for medical plans, foundations, and patient deductibles.
  • Validate that the balances created in the secondary plans and patient lines are correct.
  • Download 835 files, review portals, and process information as requested.
  • Apply payments in the system and correctly document transactions made.
  • Record all reconciled payments in the established systems.
  • Review and document daily deposits sent by accounting.
  • Obtain, scan, and file Explanations of Payment (EOP).
  • Generate reconciliation reports and balance transaction totals.
  • Timely deliver required explanations of payment to the Collections area.
  • Request explanations of payments or additional evidence from medical plans as needed.

Requirements:

  • Medical Billing Certification or equivalent to 2 years of billing experience.

***Equal Opportunity Employer M/F/V/D***