Medical Billing Team Lead

Overview:

Physician Services USA is seeking a detail-oriented and experienced medical billing team lead. The medical billing team lead is responsible for supervising a large billing team in ensuring accurate billing, timely submission of electronic and /or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. Possess leadership skills and a positive attitude towards clients, management, and co-workers. Must have the ability to detect, analyze, investigate, and solve individual billing issues. This may include research, phone calls, emails etc. to physicians, staff, insurance carriers or whomever is needed to resolve the issue.

Essential Functions include but are not limited to the following:

• Review and submit claims daily within client practice management system.
• Apply incoming ERA and manual payments to patient accounts.
• Analyze and resolve insurance over payments and under payments.
• Conduct tracking/follow up on all outstanding claims.
• Denial resolution; including submission of medical records and appeals.
• Respond to patient & client direct communications with a high level of customer service.
• Manage qualifying collection agency accounts, if applicable.
• Submit monthly patient statements.
• May assist with client credentialing and contracting.
• Prepare monthly reporting for facilities and office management.
• Maintain monthly financial goals and office metrics.
• Performs other duties as assigned by the senior leadership team.
• Lead monthly one-on-one meetings with assigned staff.
• Discuss billers’ productivity, accuracy, and professional development.
• Assist in remedying any outstanding billing issues.
• Identify problems and assist in corrective action / recommend solution.
• Provide direction and oversight to help improve day to day operations.
• Provide coaching and development for staff.
• Identify and resolve billing queries/problems.
• Assist with special client projects.
• Assist with testing, training, and implementation of new office procedures.
• Assist with and follow-up on credentialing.
• Conduct interviewing for open positions within your team and provide feedback.
• Complete other duties at the discretion of management.

QUALIFICATIONS AND SKILLS:

High school diploma or GED required

Work Setting: Office

Experience: Medical billing management 1 year (Preferred)

Working Conditions: Prolonged periods of sitting at a desk and working on a computer. Physical demands include requirements to regularly sit, use hands and fingers, reach with hands and arms, and hear. The employee is occasionally required to stand and walk, vision abilities required include close vision, distance vision, depth perception and ability to adjust focus.

Benefits:

• 401(k)

• Dental insurance

• Vision insurance

• Health insurance

• Life insurance