Billing/Insurance Verification Lead

Job Title: Billing / Insurance Verification Lead

Department: Administration

Job Duties:

• Investigate and resolve issues escalated from team members and assigned clients.

• Work directly with clients to help resolve open issues and address concerns.

• Work with reimbursement/collections staff to understand and maintain client expectations.

• Learn each assigned client's policies, procedures and practice and apply appropriately to day-to-day patient activities.

• Educate Patients on new or existing process(s) according to medical documentation and billing guidelines.

• Begin and maintain positive, professional, and effective working communications, interactions, and relationships with Patient leads.

• Supervise the patient registration process for accuracy including verification of insurance, waivers, assigned providers, etc.

• Manage patient flow along with the back office staff.

• Oversee and maintain employee timecards, PTO requests, expense reports, etc.

• Ensure compliance with all licensing including local, State, and Federal regulatory agencies related to clinical services.

• Follow and enforce company policies and procedures. Lead by setting an example for all team members.

• Protect the organization's values and principles by keeping information confidential and current.

• Lead by example and champion the company's vision, mission, and values.

• Additional duties as assigned by management.

Skills/Qualifications:

• Minimum 5 years of professional billing management experience.

• Bachelors degree in business administration or healthcare management.

• Must be self-directed, highly motivated, and organized, with strong interpersonal, written and oral communication skills.

• Solid computer and database maintenance skills are necessary

• Communicate professionally and thoroughly with both internal and external contacts.

• Maintain and respect confidentiality regarding proprietary information and in accordance with all patient confidentiality/HIPAA-related regulations.

• Knowledge of medical professional fee billing and collections CPT,ICD9/10 and HCPC coding and medical terminology as well as understanding of managed care products and processes.

• Knowledge of insurance claim adjudication practices.

• Knowledge of reporting requirements to support revenue cycle activities.

• Knowledge of regulatory and legal requirements associated with billing activities.

• Knowledge of provider enrollment procedure.

• Excellent analytic, problem solving and organizational skills.

Benefits:

• 401K match

• Medical

• Dental

• Vision

• Life Insurance