Billing Team Lead
Billing Team Lead
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Job Description
Billing Team Lead
JobDescription: Billing Team Lead
Reports to: Senior Revenue Cycle Manager
Job purpose:
We are apediatric non-profit organization seeking a billing team lead to join our professionalteam. The billing team lead will manage all matters and communications relative toinsurance claims on behalf of Texas Hearing Institute (THI). Reporting to Senior Revenue Cycle Manager the billing teamlead is responsible for all staff scheduling on site for scheduling needscustomer service with insurance or patients process claims and paymentsminimize bad debt improve cash flow and manage the overall health ofreceivables. Work with leadership to improve and automate workflows.
PositionInformation:
Hours Weekly: 40
Monday Friday
Starting: Determined by experience
FLSA Status: Non-exempt
Benefits:
Health Insurance
Dental Insurance
Life Insurance
Long Term DisabilityInsurance
403(b) Retirement Plan
12 Paid Holidays
21 Paid Time off Days
Responsibilities:
Assists with workflowof the Revenue Cycle Staff including Billing Specialists and Billing Associates personnel
Identify revenue cycleproblems help with implement solutions with Revenue Cycle for improvement
Maintainsopen communication with Revenue Cycle Manager regarding contractual issuesdenials management and claims assessment
Assistwith scheduling needs of calls out / PTO
Assistwith Audits for clinics
Assistwith overall revenue cycle including but not limited to electronic insuranceverification charge entry claim submission claims processing claimsrejections and resolution assist of appeals proper charting and documentationrequirements Charge entry including proper coding acceptance and turnaroundtime by carrier Payment Posting and contractual variance monitoring patientAR management invoices follow up calls and letters and 3rd party AR turnover time
Assistwith documentation on issues with resolution and shares with team members toimprove team knowledge of Revenue Cycle
Teamand Individual Trainings of Revenue Cycle that are relevant andnecessary for the continuous development of the technical competencies of theteam
Assistadheres to and implements the philosophy of hiring the best fit and ensuresthat prospective Employees personal values are aligned with our core values.
Allcommunications and relevant information pertaining to the team are cascaded tothe proper channels within team in particular and organization in general
Assistin analyze billing and accounts receivable trends and report on progressresults and conclusions reached regarding:
Timelybilling of services
Collectionof services billed
Agingof outstanding accounts receivable
Unbillableservices
Writeoff or adjustment resulting from payor denials or rejections on approval frommanagement
Staysfocused on maximizing revenue and reducing contractual allowances/ discountsMWS and other (grants) write offs at all times
Filesall THI claims Files all THI appeals and corrected claims as needed
Handlesall communication with insurance/ Medicaid provider relations re: underpaymentsand /Or denials through to final resolutions
Entersand post all service -related (program) payments into IMS software
Regularlyreviews all clients accounts and keeps them clean including notifying clientsof balances due issuing check request for refunds due or making necessaryadjusting entries THIS STEP INCLUDES COMPLETING CLAIMS IN IMS ADJUDICATIONSO THAT THE CLAIMS ARE PROPERLY & TIMELY CLOSED
AssistDirector of Finance (DOF) in accounts Receivable (A/R) management linksbetween IMS software and QuickBooks (QB) including email directives to DOFwith specific instructions re: clearing client accounts
AssistDOF with awareness of Insurance/ Medicaid policy and / or contractual changesand notifies management and/ or program directors as changes occurs
Assistwith credentialing process
OtherResponsibilities:
Actsas backup to THI Verification Specialist Front desk billing associateAuthorizations and check out in their absence or as needed
Education andExperience Requirements:
Highschool diploma
Musthave three-plus years of claims (Insurance billing) experience
Specific Skills:
Knowledgeand acquired usage of Microsoft standard programs; in particular MicrosoftWord and Excel
Goodcommunication skills particularly with inter-departmental communications
Key Competencies:
Verbaland written communication skills
Professionalpersonal presentation
StandardPC usage
OfficeOrganization
Reliability
Basic Competencies:
Internet-using the internet for filing claims gathering information and communicating
Spreadsheets-knowledge and ability to create modify and electronically transmit
Emailand fax machine knowledge and familiarity
Please visit our careers page to see more job opportunities.
Employment Type
Full-Time
