Billing / Insurance Verification Lead

Job Description

Job Description

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