Billing/Insurance Verification Lead

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