Hospital Billing Specialist Lead - THPG

#REF!•Plano, TX

9d•Remote

About The Position

This is a remote position for a Hospital Billing Specialist Lead within THPG. The role involves directing staff, monitoring work queues, assisting leadership with analysis and problem-solving, and acting as a subject matter expert. The team emphasizes strong teamwork, collaboration, and a fast-paced environment focused on making healthcare more accessible.

Requirements

H.S. Diploma or Equivalent
5 Years Billing experience in a health care environment.
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

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.