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ESSENTIAL FUNCTIONS
The Billing Team Lead (BTL) oversees and manages the daily production metrics of the billing team. The BTL strives to improve the team's productivity through training, auditing, and performance management. The BTL works directly with the Director of Client Services in creating SOPs, running trend reports, and other special projects as needed.
Specific Responsibilities
- Minimize number of exceptions by auditing incoming sample volume and reviewing for trends; provides ROF to director (i.e. new insurance trends, physician enrollments).
- Resolve exceptions by working directly with sales reps and facilities.
- Updating information in necessary laboratory systems to resolve problems and provide better customer service experience for customers.
- Monitors changes and updates from CMS and other agencies to educate sales team provide recommendations/updates to the Director of Client Services.
- Helps create, implement, and improve processes for billing team.
- Schedules and manages time for team, monitors timecard exceptions.
- Provide daily tasks and assignments to team to minimize downtime and maximize productivity.
- Verifies eligibility to determine primary, secondary, and tertiary payer if applicable.
- Answer phone calls from patients and responsible parties regarding account balances and/or other matters. Responds to questions from patients, clerical staff, and payers and provides superior customer service.
- Holds weekly team meetings to provide feedback, update team on new implementations/initiatives; provide needed training.
- Provides training and coaching to team on the on the importance of work quality and quality work product.
- Assists in preparing team counseling, corrective action, and performance appraisals on a timely basis.
- Resource utilization of department: Provides regular updates to management regarding resource management (people, supplies and equipment) as necessary.
- Coordination and communication with management and other departments as needed to ensure procedural compliance, problem resolution and business continuity.
- Interviewing and screening candidates.
- New employee orientation and training.
Qualifications:
- Some College preferred, High School Diploma or GED required. Minimum of two (2) year experience billing Medicare B, Commercial and Medicaid preferred.
- Knowledge of Medicare guidelines (CMS), knowledge of basic medical coding and third-party operating procedures and practices.
- Knowledge of electronic billing, payment posting and claims appeal process.
Additional Skills Required:
Employee must be able to meet the physical demands of the position including standing for extended periods of time, and the ability to lift and/or move up to 50 pounds. In addition, the following skills are essential to the position:
- Must possess the required level of skills and abilities to read, write, speak, and apply mathematical concepts and sound reasoning to successfully perform the essential duties and responsibilities of this job.
- Must be able to perform basic operations on a computer within the Windows operating system as well as Microsoft Office applications.
- This position requires problem solving skills, critical thinking skills, and the ability to multi-task.
- Excellent oral and written communication skills to effectively communicate with all levels of management