Overview
As a Team Lead US Medical Biller, you will play a crucial role in overseeing and managing the medical billing operations within the healthcare organization. Your leadership and expertise will contribute to the accurate and timely processing of medical claims, ensuring optimal revenue cycle management and compliance with industry regulations. This position is essential for maintaining financial stability and the smooth functioning of the billing department.Key responsibilities
- Supervising and guiding a team of medical billers to ensure efficient and accurate processing of healthcare claims
- Managing the billing workflow, prioritizing tasks, and monitoring performance metrics
- Ensuring compliance with CPT coding, ICD-10, and other relevant medical coding standards
- Overseeing the resolution of billing discrepancies and denials to minimize revenue leakage
- Assisting in the training and onboarding of new team members, ensuring their adherence to billing policies and procedures
- Collaborating with cross-functional teams to streamline the revenue cycle management process
- Conducting regular performance evaluations and providing constructive feedback to team members
- Implementing best practices and process improvements to enhance billing efficiency and accuracy
- Handling escalated billing inquiries and complex claims resolution
- Staying updated on industry changes and regulations to ensure compliance and best practices
Required Qualifications
- Bachelor's degree in healthcare administration, finance, or related field
- Minimum of 5 years of experience in US medical billing
- Demonstrated leadership experience, ideally in a supervisory or team lead role
- Proficiency in CPT coding and ICD-10 guidelines
- Strong understanding of insurance and payer policies, including Medicare and Medicaid
- Excellent knowledge of revenue cycle management and claims processing
- Proven ability to analyze and interpret billing reports and financial data
- Detail-oriented with strong organizational and prioritization skills
- Effective communication and interpersonal abilities for team management and collaboration
- Certification in medical billing and coding is a plus
- Experience with billing software and electronic health record (EHR) systems
- Up-to-date knowledge of HIPAA regulations and healthcare compliance
- Ability to thrive in a fast-paced, deadline-driven environment
- Problem-solving skills and a proactive approach to addressing billing challenges
- Commitment to maintaining high ethical standards and confidentiality in handling patient information
Skills: medical billing,financial data analysis,icd-10,healthcare compliance,team leadership,hipaa regulations,problem-solving,payer policies,revenue cycle management,claims processing,team management,insurance policies,leadership,interpersonal skills,communication,cpt coding
