Billing Lead

Job Summary

THIS IS NOT A REMOTE POSITION

Assists with the coordination and supervision of daily activities of a group of Billing Specialist as well as support billing and collections functions of the medical practice.

Responsibilities

• Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures 
  of Tenet Physician Resources. 
   
•  Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality 
  Agreement. 
   
• Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of 
  compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state 
  laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific 
  job functions/responsibilities; and reporting compliance issues/concerns in a timely and 
  appropriate manner. 
   
• Provides direction and guidance to less experienced team members. 
   
•  Recognizes and recommends areas needing improvement. 
   
•  Assist in scheduling and coordinating team activities. 
   
•  Handles escalated and unresolved issues from less experienced representatives.  Enter charges in a timely manner File claims and run/work audit trails daily 
   
•  Process ERAs, payments, and adjustments  Balance daily activity- Prepare and send Batch Cover Sheet to Director and accounting 
   
•  Ensure that front office staff properly collects copays and balances due at time of service by 
  auditing patient financial data up to 2 days before visit 
   
•  Review/work delinquent insurance and patient balances  Work credit balances  Run reports as requested by management or accounting. 
  Other responsibilities as assigned. 

Qualifications

Education: High school diploma/GED required with completion billing or coding program preferred. 
Certification: 
Experience: Must have a minimum of 5 years of experience working in medical billing 
Other Requirements: None 
Performance Requirements: 
Knowledge: 
1. Knowledge of Accounts Receivable collection process 
2. Knowledge of the Red Flag rules 
3. Knowledge of Electronic Health Systems 
4. Knowledge of ICD-9 and CPT codes

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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