About the Role To be considered a qualified candidate, must have knowledge of Medical Billing and working insurances. What You’ll Be Doing Responsible for ensuring the final resolution of all insurance and guarantor owed balances. This would include but not be limited to follow-up and resubmission of claims not on file, filing of appeals for claims denied in error, collection of guarantor balances in accordance with written policy, electronic and telephone communication with payers and refunds. Responsible for maintaining day-to-day operations of team lead direct reports Ability to troubleshoot billing problems for the Revenue Cycle department Qualified candidates must be highly organized with a strong work focus. Responsible for communication of incorrect filing issues that result in claim being denied to office staff and Revenue Cycle Director. Responsible for developing relationships with representatives of all payers to help resolve issues regarding claims payment, denials, policies and problems. Monitoring of aged accounts balances, both insurance and guarantor types, insuring compliance within corporate benchmarks set in accordance with the MGMA for superior performance. Responsible for ensuring the daily production and quality standards of the Corporate and Departmental written policy and procedures are met. Responsible for daily report of progress/problems to Revenue Cycle Director. Responsible for ensuring appropriate documentation to support write-offs, transfers to collection agencies, and adjustments to all accounts. Responsible for random audits of all positions to ensure compliance with Corporate and Departmental policies and procedures. Maintain working relationships with other Supervisors/Team Leaders to ensure communication, cross-training and resolution of problems. Responsible for adhering to the Corporate Confidentiality Policy. Other duties as assigned. What We Expect from You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED