CBO Billing Lead

Position Summary / Scope of Responsibility

MedVanta is the nation's largest physician-owned and operated next generation management services organization (MSO). Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.

MedVanta has an employee centered culture that supports and promotes diversity and inclusion. Our encouraging and empowering management style makes MedVanta a great place to further grow your knowledge while building a team driven path to success.

The Central Billing Office (CBO) Billing Team Lead is responsible for leading a designated billing team and function to meet established performance standards. Responsible for demonstrating knowledge of the team’s core processes and directing the work, efforts, and results of a team. Will create an environment of high team performance, engagement, satisfaction and retention through goal setting, recognition, coaching and effective talent management.

Primary Responsibilities

The incumbent may be asked to perform job-related tasks other than those specifically stated in this description. The duties and responsibilities of the position are to be carried out in a manner that is consistent with the Mission, Core Values and Operating Principles of MedVanta.

• Lead and oversee assigned billing staff and billing/claims processes.
• Audit team performance and results, adjusting for improvement as indicated.
• Identify and propose opportunities to maximize revenue.
• Carry out talent management processes, including training, development, and evaluation of staff.
• Run the AR report and distribute to the staff
• Perform all medical billing responsibilities in support of the team, including:
  • Handle insurance billing/claims
  • Submit claims to insurance
  • Communicate billing/claims information to insurance carriers
• Performs all other duties as assigned.

REQUIREMENTS AND COMPETENCIES

Required

Education and Experience

• High School Diploma or equivalent required
• 2 years of related experience leading a team required
• Certified Professional Coder (CPC) preferred
• Proficiency with Microsoft Office suite of products as well as practice management and electronic health record systems
• Extensive knowledge of insurance, benefits, medical terminology, and medical billing
• Experience working with billing and accounts receivable for both commercial and non-commercial payors
• Knowledge of multiple coding systems, including Level 1 HCPCS and Level 2 HCPCS

Competencies / Required Skills and Abilities

• Strong interpersonal skills - ability to develop relationships and collaborate and influence in a centralized organization.
• Confident, independent thinker and strong decision-making ability when circumstances warrant such action.
• Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results.
• Strong interpersonal, oral, and written communication skills with excellent self-discipline and patience.
• Able to work independently.
• Exudes professionalism in presentation.
• Must be able to read, write, speak, understand, and communicate in the English language.

Physical Demands

• Must be able to sit for long periods of time and lift up to 25 pounds.
• Must be able to use appropriate body mechanics techniques when performing desk duties.
• Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting.
• Adequate hearing to perform duties in person and over telephone.
• Must be able to communicate clearly to patients in person and over the telephone.
• Visual acuity adequate to perform job duties, including reading materials from printed sources and computer screens.