Full-Time Team Lead, Billing & Posting Resolution

Role Description

• Responsible for overseeing claims production, billing, follow-up, collections, and compliance with third party payer regulations.
• Responsible for both strategic alignment and daily oversight and management of process-based revenue cycle functions.
• Possess complete understanding of the billing/collection process to resolve complex, outstanding claims.
• Ensures accounts are billed accurately and timely by providing proactive oversight and direction for billing and collections.
• Provides operational oversight for the Billing Coordinator, mentoring them in their responsibilities.
• Maintains current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations.
• Demonstrates ability to manage, train and motivate employees.
• Organizes and leads efforts to maximize operational efficiency and optimize reimbursement.
• Monitors denials and provides education and reporting to the areas regarding the effect of denials from their areas.
• Pro-active communication/escalation of potential claims/unbilled accounts/issues to the Director.
• Exhibits excellent leadership and self-direction, good judgement in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills.
• Assures that confidentiality of patient information is maintained without exception.
• Attends all required meetings and activities.
• Liaise with facility management and operates as the lead point of contact.
• Implements, and monitors the department budget.
• Maintain employee time and attendance and scheduling demands.
• Responsible for ensuring employee annual reviews are completed on time and accurately.
• Responsible for accuracy of customer invoices, and creating the invoices monthly.
• Understanding the contract terms and ensuring we stay within those terms.
• Performs all functions from the Management Expectations List.
• Performs all other duties assigned.

Qualifications

• High school graduate or GED equivalent.
• 5 years previous hospital billing experience.
• Working knowledge of insurance regulations, procedure and diagnosis coding and automated insurance billing.
• Excellent communication (written and oral) and interpersonal skills.
• Excellent critical thinking, organizational and time management skills with a strong attention to detail, accuracy and follow through.
• Must be able to work through issues to resolution.
• Associates or Bachelor’s Degree (preferred).
• 2 years Medicare hospital billing experience (preferred).

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