Medical Billing

2 weeks ago


West Plains Missouri, United States Air Evac Lifeteam Full time

More Information about this Job:

IMMEDIATE OPENING
Medical Billing-Revenue Cycle – Appeal Lead/Trainer – Government & Third-Party Liability

Remote or On-Site

Starting Pay $19.00

JOB SUMMARY


The Government & Third-Party Liability Appeal Lead/Trainer provides leadership and oversight to the Revenue Cycle employees to ensure an overall high level of quality, efficiency, and productivity, while affirming all departmental goals are satisfactorily met.

Maintains a physically, mentally, and environmentally safe work environment for all employees. Provides a positive work environment and mentors employees by providing purpose, motivation, and direction in-order-to accomplish the department's mission.

Essential Functions/Duties

Oversee appeal follow up processes to ensure appeals are filed and followed up on in a timely manner.

Maintain a working knowledge of billing regulations and follow-up collection trends with a diverse group of national payors.

Assure process and resources are allocated to provide required payor documentation assembly and filing in a timely manner.

Gather, analyze, and identify billing and/or follow-up problems recommending corrective actions and procedural changes.

Analyze work processes to maximize efficiency.

Monitor goals and motivate employees to foster high performing teams.

Work effectively as a member of a leadership team.

Communicate clearly and concisely, both orally and in writing, giving presentations as needed.

Serve as a "champion" for best practices within our "I-Care" Cultural Pillars. (Integrity / Compassion / Accountability / Responsibility / Excellence)

Qualifications:
Required Experience

Must be fluent in English

Minimum three (3) years of experience in healthcare/revenue cycle billing environment

Minimum six (6) months previous training or leadership experience or applicable experience

Above average knowledge of Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, Worker's Compensation and other third-party liability payors

Minimum of two (2) years experience in a call center environment

Proficient in Word, Excel, Office 365

Knowledge and experience of computers and related technology at an intermediate level

Preferred Experience

Medicare, Medicaid, Workers' Compensation appeal experience

A minimum of one (1) year working in a customer service

Education

High school diploma or equivalent

Skills:
Knowledge of health care billing procedures, reimbursement, third party payer regulations, documentation, and standards

Knowledge of health care billing compliance regulations

Knowledge and understanding of payor Explanation of Benefits (EOB)

Ability to define problems, collect data, establish facts, and draw valid conclusions with strong problem-solving skills, attention to detail, and ability to make timely decisions

Ability to drive results, review/improve processes, and manage change

Ability to interpret remittance advice notices/explanation of benefits

Excellent internal and external customer service skills

Responsiveness and a strong commitment to meeting internal and external deadlines with limited supervision

Strong written and verbal communication skills and interpersonal skills

Strong quantitative, analytical, and problem-solving skill

Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, is one of family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at ..

Learn how our are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at .


EEO Statement:


Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing for individuals with a disability.


More Information about this Job:
Check out our careers site to learn more about our benefit options.
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