Lead Billing Specialist

Medix Infusion•Dallas, TX

About The Position

As a Billing Team Lead, your primary responsibility is to review and assist with the billing team’s work and provide additional training as needed. Your job duties include assisting the billing manager with work assignments and training. Identifying errors and streamline the process of billing all claims. Assist with daily questions and help create strategies to minimize errors. Medix Infusion is a technology-driven healthcare platform dedicated to enhancing patient care and access to infusion therapies. We specialize in disease management and infusion pharmacy services for chronic and acutely ill patients, especially those in underserved communities. We offer personalized home and in-suite infusion therapies, ensuring convenience and comfort. Our expert team provides a comprehensive range of treatments, including anti-infectives, biologics, IVIG, and other injectables, making each patient’s journey as smooth as possible.

Requirements

High school diploma or equivalent
Minimum of 5 years of experience in revenue cycle.
Excellent understanding of healthcare billing, coding, and reimbursement processes.
Strong knowledge of insurance guidelines, including Medicare, Medicaid, and commercial payers.
Familiarity with pharmacy and HIT billing.
Proficiency with ICD-10 coding.
Ability to handle sensitive and confidential information, with a strong knowledge of HIPAA privacy guidelines.
Strong analytical skills and attention to detail.
Excellent verbal and written communication skills with the ability to prioritize and negotiate effectively.

Nice To Haves

Further education or certifications in healthcare or related fields are a plus.

Responsibilities

Assist manager to develop and mentor the billing department staff.
Assist in development and revise policies and procedures related to billing and coding.
Review and analyze daily workflow to ensure accurate coding and billing.
Assist with maintenance Wellsky pharmacy process and cross train with Billing MGR.
Communicate professionally with other departments and stakeholders.
Assist with reporting and work closely with internal and external stakeholders.
Handle special projects as assigned and meet department KPIs.
Assist rejected electronic claims and manually process any claims not eligible for electronic submission.
Monitor unbilled appointments and ensure timely billing.
Collaborate with Intake and Nursing departments to ensure accuracy and timeliness.
Stay informed about new billing guidelines and implement changes as needed.