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Senior Regional Medical Billing Lead
Senior Regional Medical Billing LeadMYRIAD SYSTEMS INC • White Plains, NY, US
Senior Regional Medical Billing Lead

Senior Regional Medical Billing Lead

MYRIAD SYSTEMS INC • White Plains, NY, US
1 day ago
Job type
  • Full-time
Job description

Job Description

Job Description

Job Title : Senior Regional Medical Billing Lead- West Coast

Reports to : National Billing Manager as well as Director of Medbill

Supervises : N / A

Position Summary :

The Senior Regional Medical Billing Lead- West Coast is responsible for overseeing and managing the medical billing operations within a specified region. This role involves ensuring compliance with billing regulations, optimizing revenue cycle processes, and leading a team of Junior Billing professionals to meet organizational goals. The Senior Lead serves as a key liaison between the billing team, healthcare providers, insurance companies, and other stakeholders.

Billing Accuracy & Compliance Oversight (35%) :

  • Review and approve invoices, ensuring accurate billing codes, pricing, and customer details
  • Identify and correct errors prior to claim submission
  • Ensure accurate and timely billing for all customer accounts across the national network
  • Analyze billing data to identify trends, errors, and opportunities for improvement
  • Monitor and enforce compliance with relevant billing regulations and industry standards

Client Communication (30%)

  • Manage and resolve billing disputes with customers and payers promptly and effectively.
  • Identify root causes of billing errors and implement corrective actions.
  • Collaborate with coding, credentialing, and client care teams to enhance customer experiences.
  • Improve clean claim rates through proactive communication and error resolution.
  • Reporting & Analysis (20%)

  • Generate comprehensive billing reports and key performance indicators (KPIs) to track revenue performance.
  • Analyze billing data to identify trends, areas for improvement, and potential revenue leakage.
  • Present financial reports to senior management with actionable insights into billing performance.
  • Accounts Receivable Management (10%)

  • Reduce accounts receivable (A / R) across the entire client portfolio.
  • Identify and address discrepancies collaboratively with teams, ensuring proper documentation and adherence to billing standards.
  • Support internal and external audits by providing required documentation and clarification.
  • Leadership & Team Management (5%)

  • Lead and manage billing specialists for your region, providing guidance, training, and performance evaluations.
  • Develop and implement strategies to enhance team efficiency and productivity.
  • Monitor team performance against key metrics and address any performance-related issues promptly.
  • Minimum Qualifications :

    Education :

  • Bachelor’s degree in Accounting, Finance, or related field
  • Experience :

  • Managing billing operations
  • Strong understanding of billing codes, regulations, and industry best practices
  • Proven leadership skills for managing a geographically dispersed team
  • Proficiency in billing software and financial reporting tools
  • Excellent analytical and problem-solving skills to identify and resolve billing discrepancies
  • Strong communications and interpersonal skills for effective cross-functional collaboration
  • Competencies :

    Operations Knowledge – Thorough understanding of operational procedures and their impact on other departments. Acts as an expert resource for others.

    Product Knowledge – Comprehensive knowledge of products and services offered, including features and pricing. Ability to recommend appropriate solutions to meet customer needs.

    Compliance Knowledge – Extensive understanding of general and department-specific regulations. Serves as a compliance resource for the team.

    Sales & Service – Guides the team to achieve goals while ensuring excellent customer service. Maintains professional communication and positive customer relationships.

    Teamwork – Builds morale and fosters team collaboration toward shared objectives. Welcomes feedback and supports a team-focused approach to success.

    Computer Skills - Demonstrates a strong understanding of the technology used in billing operations. Consistently seeks opportunities to improve efficiency through technology.

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Physical Strength- Employee must be able to stand and / or sit for periods of time while waiting on customers. Employee may be required to walk, reach, lift, carry and bend. This job also requires the ability to lift and / or move up to 15 lbs. Occasionally, may need to lift more than 15 lbs.

    Finger Dexterity- Employee will have to use fingers to make small movements, such as typing, picking up small objects, or pinching fingers together.

    Talking- The ability to convey information accurately by speaking to customers and other employees

    Hearing- Able to hear average or normal conversations and receive ordinary information.

    Visual Abilities- Specific vision abilities used by this job are close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

  • Employer reserves the right to change this job description at any time, should business needs arise.
  • 12 : 00 PM- 8 : 00PM

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    Medical Billing • White Plains, NY, US

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