Hospital Billing Specialist Lead – THPG

Texas Health Resources•Dallas, TX

6h•Remote

About The Position

Hospital Billing Specialist Lead – THPG Bring your passion to Texas Health so we are Better + Together Position Highlights Work environment: Remote Position Work hours: Full-time, 40 hours weekly, Monday thru Friday, 7:00am – 4:00 pm Facility: Texas Health Physicians Group (THPG) Address: Texas Health Resources, 612 E. Lamar Blvd, Arlington, TX 76011 Texas Health Physicians Group (THPG) is a not-for-profit physician organization with more than 250 locations and 800 physicians, nurse practitioners and physician assistants dedicated to providing quality care in clinics and medical offices throughout North Texas. What You Will Do: Direct staff on work assignments to ensure all work queues are worked timely and efficiently. Step in as needed to help clear work queues. 30%25 Assists in monitoring charge review, charge edit and PCR/Denial work queues to ensure compliance with established guidelines. Maintains records to record/track discrepancies. Assist leadership in conducting follow-up on identified discrepancy/issues and root cause analysis to prevent systematic recurrence of issues. 20%25 Serves as a subject matter expert, providing direction to less experienced staff. Assists with training, auditing of work, and provides feedback on opportunities for improvement. Assist leadership in ensuring productivity standards are consistently met. 20%25 Assists less experienced staff in resolving more complex and/or escalated patient billing inquiries and problems, handling follow-up questions from patients, resolving discrepancies or errors. Acts as a liaison with Practice Managers to obtain necessary information and resolve reconciliation discrepancies. 10%25 Audits denials and write-offs looking for trends and educates staff as appropriate. 10%25 Perform other duties as assigned. 10%25 What You Need: Education H.S. Diploma or Equivalent Req Experience 5 Years Billing experience in a health care environment. Req Licenses and Certifications CPC - Certified Professional Coder Upon Hire Pref Education H.S. Diploma or Equivalent Req Experience 5 Years Billing experience in a health care environment. Req Licenses and Certifications CPC - Certified Professional Coder Upon Hire Pref Skills Knowledge of third party billing regulations and third party payer requirements. Working knowledge of industry standard medical coding conventions. Must be detail oriented and have strong organization skills, and communication skills. Proficient computer skills. Possess a strong work ethic and a high level of professionalism. Must be a dependable self-starter and be deadline driven. Must have the ability to work well independently and in a team setting to meet organizational goals. Supervision Individual Contributor ADA Requirements Working Indoors 67%25 or more Physical Demands Sedentary

Requirements

H.S. Diploma or Equivalent Req
5 Years Billing experience in a health care environment. Req
Knowledge of third party billing regulations and third party payer requirements.
Working knowledge of industry standard medical coding conventions.
Must be detail oriented and have strong organization skills, and communication skills.
Proficient computer skills.
Possess a strong work ethic and a high level of professionalism.
Must be a dependable self-starter and be deadline driven.
Must have the ability to work well independently and in a team setting to meet organizational goals.

Nice To Haves

CPC - Certified Professional Coder Upon Hire Pref

Responsibilities

Direct staff on work assignments to ensure all work queues are worked timely and efficiently.
Step in as needed to help clear work queues.
Assists in monitoring charge review, charge edit and PCR/Denial work queues to ensure compliance with established guidelines.
Maintains records to record/track discrepancies.
Assist leadership in conducting follow-up on identified discrepancy/issues and root cause analysis to prevent systematic recurrence of issues.
Serves as a subject matter expert, providing direction to less experienced staff.
Assists with training, auditing of work, and provides feedback on opportunities for improvement.
Assist leadership in ensuring productivity standards are consistently met.
Assists less experienced staff in resolving more complex and/or escalated patient billing inquiries and problems, handling follow-up questions from patients, resolving discrepancies or errors.
Acts as a liaison with Practice Managers to obtain necessary information and resolve reconciliation discrepancies.
Audits denials and write-offs looking for trends and educates staff as appropriate.
Perform other duties as assigned.