Billing Team Lead

Responsibilities:

• Identify, analyze, and manage all EDI functions.
• Train staff on how to complete all tasks assigned, such as: EDI and ERA enrollments, claim rejections and database set up.
• Assist with creating and maintaining electronic ANSI and paper claim formats.
• Establish and maintain the necessary billing and tracking systems to maximize first pass claim acceptance.
• Coordinate, assign, audit, and supervise work with all EDI staff assigned to ensure productivity standards and goals are consistently met.
• Review and analyze past due tasks with EDI staff weekly.
• Establish and maintain productive relationships with key resources including Managers as well as external vendors.
• Acts as first level of support for internal and external escalated issues. Document outcomes and track completion of activities.
• Work with EDI manager to determine the level of automation possible and the necessary personnel to achieve collection goals and quality benchmarks.
• Oversee monthly EDI reporting requirements.
• Supervise staff. Supervision duties to include: performance management, Coaching, training and development, work flow planning and disciplinary actions, periodic 1 on 1 with team, Provide constructive feedback.
• Implement and maintain department compliances with new and existing policies and procedures.
• Ensure timely completion of month end duties.
• Reliable and punctual in reporting for work and taking designated break

Abilities and Knowledge

• Have knowledge of ICD-10 and CPT codes as well as insurance guidelinesespecially Medicare and Medicaid.
• Strong knowledge of ANSI guidelines and EDI/ERA enrollment processes.
• Knowledge of Payer rules and regulations.
• Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills.
• Ability to effectively speak with providers, employees, and all levels of staff within the company.
• Strong work ethic, well-spoken and professional.
• Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to criticism, suggestions, and new ideas.
• Strong attention to detail and keep a constant eye out for opportunities to improve efficiency.
• Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions.
• Have knowledge or experience with rehab therapy community and the day-to-day operations of a large PT, OT, or SLP clinic.
• Work well in difficult situations.
• Proficiency in Microsoft Office and various medical billing systems. Intermediate to
  advanced Excel skills
• Knowledge of Payer Portals

Education and Experience

Required:

• 5+ years of experience in a RCM, at least 2 years in Billing operations.
• At-least 1 year as a Team Lead
• Proficiency in Microsoft Office and various medical billing systems. Intermediate to advanced Excel skills required.
• Graduate from Recognized university

Culture is at our Core

• Service: Create Raving Fans
• Accountability: Follow Up; Own Up
• Attitude: Possess True Grit
• Personality: Be Minty
• Work Ethic: Be Rock Solid
• Community Outreach: Give Back
• Health and Wellness: Live Better
• Resource Efficiency: Do Ms With Menos

About Us