Team Leader, Central Billing Office
Position Summary The Team Lead of the Medical Group Inc. Centralized Billing Office directs the daily activities of Insurance Representative(s) I, II and III.
Duties include but are not limited to ensuring timely and efficient insurance professional billing, payment / adjustment / refund(s) posting, insurance follow-up and collections.
In order to maximize cash flow, this position works directly with the CBO Manager to maintain compliance with contractual agreements and federal / state regulations;
in addition to, prioritizing open communication regarding the oversight of the MGM billing staff. The Team Lead will work closely with CBO Accountant I and the MGM physician offices to assure banking processes are efficiently followed as well as appropriate patient account data obtained, to maintain gross days in receivables at or below departmental goals.
- Education Associates of Healthcare - Required
- Experience 3-5 Years Supervision of Accounts Receivable in Healthcare setting(s). - Required Concentration in claims submission, payment posting, follow-up, and appeals.
Multi-specialty physician group exposure - Preferred.
- License & Certification None Required
- Core Job Functions Resolves technical and personal issues timely. Promotes cooperation and team work according to SJC standards.
Monitors coworkers activity to ensure production standards are met daily. Promptly reviews outstanding Credit Accounts receivable in addition to all submitted charge adjustment and other refund request forms.
Accurately posts all approved requests for charge adjustment and refunds. Produces required, related reports and documents accounts properly.
Reviews and logs all coworker PTO requests promptly. Daily maintains adequate staffing levels in all areas. Appropriately maintains open communication with coworkers regarding call-ins.
Prepares and administers applicable coworker evaluations promptly. Appropriately initiates coworker counseling and retraining when necessary.
Accurately provides ongoing process and technical training.