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Medical Billing Manager Jobs in Puerto Rico (NOW HIRING)

Centers Home

PR

Ensures that the needed DME, medical supplies and ancillary services are ordered and documented ... Demonstrates sound knowledge of reimbursement and billing practices for Medicare, Medicaid, managed ...

Grainger Businesses

Account Manager

Catano, PR · Hybrid

$42K - $71K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical, dental, vision, and life insurance plans with coverage starting on day one of employment ... Position Details The Account Manager is responsible for driving profitable sales growth within an ...

Grainger Businesses

Account Manager

Catano, PR · On-site

$42K - $71K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical, dental, vision, and life insurance plans with coverage starting on day one of employment ... Position Details The Account Manager is responsible for driving profitable sales growth within an ...

Grainger Businesses

Account Manager

Catano, PR · Hybrid

$42K - $71K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical, dental, vision, and life insurance plans with coverage starting on day one of employment ... Position Details The Account Manager is responsible for driving profitable sales growth within an ...

O'Reilly Auto Parts

Installer Service Specialist

Caguas, PR · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Works with Sales Specialists/Territory Sales Managers to provide superior service to professional ... Verify all product/merchandise, including warranty parts and cores, are billed before customers ...

O'Reilly Auto Parts

Installer Service Specialist

Utuado, PR

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Works with Sales Specialists/Territory Sales Managers to provide superior service to professional ... Verify all product/merchandise, including warranty parts and cores, are billed before customers ...

O'Reilly Auto Parts

Installer Service Specialist

Caguas, PR · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Works with Sales Specialists/Territory Sales Managers to provide superior service to professional ... Verify all product/merchandise, including warranty parts and cores, are billed before customers ...

O'Reilly Auto Parts

Installer Service Specialist

Aguada, PR

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Works with Sales Specialists/Territory Sales Managers to provide superior service to professional ... Verify all product/merchandise, including warranty parts and cores, are billed before customers ...

O'Reilly Auto Parts

Installer Service Specialist

Yauco, PR

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Works with Sales Specialists/Territory Sales Managers to provide superior service to professional ... Verify all product/merchandise, including warranty parts and cores, are billed before customers ...

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All JobsMedical Billing JobsMedical Billing Manager JobsMedical Billing Manager Jobs in Puerto Rico

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.

More about Medical Billing Manager jobs

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 Manager jobs near you

Intake RN (San Juan)

Centers Home

PR

Full-time

Re-posted 26 days ago

Job description

SUMMARY:
Responsible for assessing patient care needs and planning home health care services.
JOB DUTIES /KNOWLEDGE

  • Coordinates, screens and assesses home health care needs of patients referred to Agency
  • Completes intake process within established time parameters
  • Collaborates with physicians, nurses and discharge planners to identify patient care needs and to establish the appropriate level of care for patients referred to the Agency
  • Establishes and completes an individualized Plan of Treatment in accordance with MD orders, patient care needs, insurance guidelines and Agency protocol, including the identification of formal/informal supports in carrying out plan
  • Ensures that the needed DME, medical supplies and ancillary services are ordered and documented
  • Contacts managed care personnel when appropriate to obtain necessary initial authorizations
  • Notifies referring party if patient will require alternative discharge plan
  • Delegates specific tasks to support staff providing clear, timely direction to ensure continuity of care
  • Serves as a resource to all persons contacting the agency for information
  • Treats all referral parties, patients, family members and hospital staff courteously and in a non-discriminatory manner
  • Demonstrates sound knowledge of reimbursement and billing practices for Medicare, Medicaid, managed care, charity care and other third-party payers
  • Demonstrates cultural sensitivity
  • Maintains patient confidentiality at all times
  • Demonstrates working knowledge of State and Federal regulations
  • Participates in Quality and Performance Improvement activities and in the orientation process for agency staff
  • Performs other related duties as required
  • Demonstrates a high degree of commitment to customer relations and quality service
  • Utilizes community resources as appropriate to meet patient care needs

JOB PERFORMANCE

  • Demonstrates ability to perform quality and effective services.
  • Demonstrates ability to set and meet objectives, and to find increasingly efficient ways to perform task.
  • Completes work, and documentation with accuracy and within agency time frames.
  • Requires minimal supervision and is self-directed.
  • Understands the delivery of service within home care.

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