Billing Team Lead

Granite VNA is seeking a Billing Team Lead to guide support and elevate our billing team while ensuring accuracy compliance and efficiency in a fast-paced healthcare environment. This role plays a critical part in supporting our clinicians and patients by keeping revenue processes running smoothly. If you enjoy mentoring others problem-solving and contributing to a mission-driven organization that values collaboration and excellence this may be the perfect opportunity for you.

Reporting to the Manager of Revenue Cycle the Billing Team Lead oversees the daily operations of the billing team ensuring accurate timely invoice processing and claims submissions. The Billing Team Lead is responsible for analyzing data to develop actionable information. Categories include streamlining claim submissions improving billing accuracy managing claim denials and drive to reduction and reducing inefficiencies to streamline workflows. Develop reporting strategies to identify payor performance. The Billing Team Lead will maintain billing tasks for a population of payors.

Essential Functions

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Serve as the go-to resource for complex billing discrepancies customer complaints and payment issues communicating with clients and other departments.
• Oversee daily activities of billing team provide training for new hires and act as a mentor for the billing team members.
• Reviews and categorizes aged receivables for Home Care and Hospice for billing staff workflow.
• Obtains clearinghouse data to accurately report on payor performance
• According to departmental guidelines analyzes investigates and follows-up on denied and/or underpaid claims and patient balances to facilitate payment and resolution.
• Evaluates payor payments adjustments and write offs against payor contracts for appropriateness and accuracy.
• Manages the billing teams delivery element for patient payor changes.
• Acts as a backup for all billing functions.
• Participates with the billing office staff in review of any outstanding claims and/or denials on a regular ongoing basis to ensure accuracy and timeliness of any necessary appeals.
• Performs other specific projects relating to billing data entry and computer operations as required.
• Maintains thorough knowledge of payer contracts regulations and guidelines as well as State and Federal laws relating to billing and collection procedures to ensure accurate and compliant billing processes.
• Ensures daily processing Medicare NOAs and NOEs.
• Facilitates process documentation and training and validates consistent process completion.
• Communicate with other departments to obtain necessary information as needed.
• Represents the billing team along with management in cross-team strategic initiatives.

Other Job Functions

• Communicate with other departments to obtain necessary information as needed.
• Represents the billing team along with management in cross-team strategic initiatives.
• Perform job duties in a safe manner to prevent injury to yourself and others
• Demonstrates flexibility in role by accepting other duties as assigned for which qualified.

Granite VNA Values

• Respect - Treats people without judgment in an appreciative manner. Values the rights wishes and culture of each individual. Listen to understand by being present and attentive. Treats others with fairness.
• Compassion - Shows kindness and empathy in all interactions. Demonstrates care and concern through active listening. Approaches each interaction with awareness and presence and is sensitive to others needs and challenges.
• Competence - Encourages continuing education and supports skill development to effectively meet the needs of our community. Uses best practices. Demonstrates critical thinking.
• Culture of Excellence - Promotes the highest quality of care through innovation and resilience to changes. Embraces challenges with creative problem solving and leads with advanced technology and programs.
• Leadership - Provides strong leadership sets a good example skilled decision maker and motivator. Creates an atmosphere that encourages risk-taking. Fosters an environment of trust and authenticity. Guides others to a common purpose.
• Stewardship - Moves the Agencys mission forward while respecting its history. Is transparent with all stakeholders. Manages all resources appropriately and cultivates awareness and respect for the Agencys tangible and intangible resources.

Work Environment

The employee may be required to work extended periods of time using a desktop laptop and/or other mobile device. No team member is ever required to perform work that he or she believes in unsafe or that he or she thinks is likely to cause injury or a health risk to themselves or require work in all office locations

Expected Hours of Work

The employee will be scheduled to work Monday Friday: 8am 4:30pm.

Pre-approved modification to four 10-hour days is permissible as staffing allows.

• High School Diploma or equivalent; Post secondary coursework in Finance Accounting or Information Technology preferred or equivalent combination of education and/or work experience required.
• Minimum of 5 years Medicare Medicaid or Commercial billing Home Health and Hospice billing preferred.
• Intermediate to advanced MS Office skills especially Word
• Advanced Excel experience required