LEAD MEDICAL BILLING SPEC-REMOTE

Premier Health•Moraine, OH

10d•Remote

About The Position

To manage the accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies. In addition, the team lead will review coding & charges, ensure the completion of team members daily task, and follow-up with external and internal customers to ensure the remediation of customer issues that may arise. The team lead should communicate with the AR Manager concerning central billing issues, questions, concerns, corrective actions or training needs.

Requirements

High School diploma or GED
Three to five years previous healthcare billing, collections experience, and/or managed care experience preferred.
Knowledgeable about third party billing regulations and CPT.4/ICD.9/10 coding
Routine CRT/data entry skills
Knowledge of spreadsheet applications
Proven record of dependability
Strong communication and decision-making skills

Responsibilities

Entry of all data processed through the Accounts Receivable Office; including all system documentation, charges, payments (lockbox & mail), adjustment and other transactions.
Perform daily, monthly and special system processing requirements (i.e. batch posting and balancing).
Ensure Team Members are completing tasks/job functions timely for coding, charge entry, payment posting, and follow-up.
Work with CBO AR Manager to develop a common way for each center to report charges.
Work with CBO AR Manager/CBO Administrator to implement coding education for CBO staff.
Distribute faxes, mail and courier items immediately.
Print hardcopy and secondary claims daily.
Verify BWC claim/info is correctly processed.
Determine that work/charges to be keyed are evenly distributed to each team member.
Check/Spot check team members’ work for errors.
Perform audits as requested by CBO AR Manager/CBO Administrator and randomly.
Work with ERA Claims Specialist to resolve missing ERAs for entire team.
Work with CBO AR Manager/CBO Administrator to redistribute responsibilities to accommodate new staff members and to ensure work is evenly distributed.
Report updates, concerns, issues during weekly Team Lead meetings.
Answer questions from team members and center staff.
Educate/Inform staff regarding changes, updates, etc.
Monitor team members use of work time to handle personal business.
Communicate Roadblocks/Issues to CBO AR Manager.
Ensure consistency among staff, workflow, etc.
Cross Train/ “Buddy Billers”.
Other duties as assigned by CBO AR Managers/CBO Administrator.