Billing Lead

Conifer Health Solutions•Southfield, MI

1d•Remote

About The Position

The Billing Lead assists with coordinating and supervising the daily activities of a group of Billing Specialists and supports the medical practice’s billing and collections functions. This is a remote position. The role provides direction and guidance to less experienced team members, identifies areas for improvement, coordinates team activities, and handles escalated or unresolved issues. It also performs billing and collections tasks, including entering charges, processing claims and payments, balancing daily activity, and reviewing outstanding balances. The position adheres to Tenet Physician Resources’ mission, policies, and procedures; follows the Tenet HIPAA Compliance Plan and confidentiality standards; and supports the Tenet Corporate Compliance Program by following applicable laws and policies and reporting concerns appropriately.

Requirements

High school diploma or GED.
At least 5 years of experience working in medical billing.
Knowledge of the accounts receivable collection process.
Knowledge of Red Flag rules.
Knowledge of Electronic Health Systems.
Knowledge of ICD-9 and CPT codes.

Nice To Haves

Completion of a billing or coding program is preferred.

Responsibilities

Adhere to and support the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
Follow the Tenet HIPAA Compliance Plan and Privacy Standards Confidentiality Agreement.
Support the Tenet Corporate Compliance Program by understanding and following applicable responsibilities, laws, regulations, and policies, and reporting compliance concerns in a timely and appropriate manner.
Provide direction and guidance to less experienced team members.
Recognize and recommend areas needing improvement.
Assist with scheduling and coordinating team activities.
Handle escalated and unresolved issues from less experienced representatives.
Enter charges in a timely manner.
File claims and run and work audit trails daily.
Process ERAs, payments, and adjustments.
Balance daily activity.
Prepare and send the Batch Cover Sheet to the Director and accounting.
Audit patient financial data up to two days before visits to ensure front office staff properly collects copays and balances due at the time of service.
Review and work delinquent insurance and patient balances.
Work credit balances.
Run reports as requested by management or accounting.
Perform other responsibilities as assigned.