JOB SUMMARY:

 The medical billing and collection specialist team lead is responsible for supervising 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 commercial insurance payers. The medical billing and collection specialist team lead must possess leadership skills, critical thinking skills and thorough understanding of commercial insurance payer payment methods to train new team members and answer any billing related questions the team may have. In addition, the medical billing and collection specialist team lead must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims.

 MAJOR DUTIES & RESPONSIBILITIES:

• Understand and stay informed of the latest billing guidelines for commercial insurances, and self-pay;

• Serves as a team lead and a primary contact of billing operations for payers and Clinic internal departments;

• Display excellent management skills and a track record of meeting goals and deadlines;

• Promote effective working relations, work efficiently, and maximize team morale and its ability to meet goals and objectives;

• Manage billing staffs to include: recruitment, placement, management and approval of employees’ time/ time off request, training and development, performance evaluation, compliance, succession planning, terminations, and backfills;

• Coordinate workload and performance (monthly productivity and quality review) across the billing team;

 • Check daily batch claim electronic submission is completed successfully;

•Monitor unpaid claims and ensure they are being followed up in a timely manner;

• Generate daily, weekly, monthly report including but not limited to unlocked charts, unpaid claims. 

• Responsible for monthly sliding fee audit;

• Handle escalated or complex claims issues;

• Review refund request;

• Perform duties as listed on Medical Billing and Collection Specialist Job/Financial Counselor Description;

• Maintain highest confidentiality; adheres to all HIPAA guidelines/ regulations;

• Perform other duties as assigned to our client's vision, and Values.

Job Responsibilities and responsibilities subject to change

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