Insurance Team Lead

4 weeks ago

Melbourne, Florida, United States Medical Data Systems Full time
Medical Data Systems Inc. is seeking a dedicated and proficient individual to join our team as an Insurance Team Lead. The successful candidate will exhibit professionalism, self-sufficiency, and a high level of motivation to excel in our insurance support and billing department. This role requires a strong background in insurance processes, meticulous attention to detail, and the ability to thrive in a fast-paced environment.

Key Responsibilities:


Provide guidance and support to colleagues regarding insurance follow-up processes, claim submission, claim status inquiries, and appeals filing for denials.

Manage a high volume of detailed data processing tasks efficiently, adhering to tight performance guidelines.
Navigate multiple systems proficiently to extract relevant contact, insurance, and attorney data.
Collaborate with the Insurance Manager to prioritize collections efforts.
Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
Utilize hospital billing experience to execute assigned tasks effectively.

Essential Duties and Responsibilities:
Assist colleagues and management with insurance processes and individual tasks.
Process accounts methodically, focusing on facility-specific queues and updating information as necessary.

Take proactive collection actions, including contacting insurance companies, attorneys, and patients, correcting and resubmitting claims, filing appeals for claim denials, conducting new hire training, and handling special assignments.


Qualifications:
Previous supervisory experience is preferred.
Strong communication skills and self-motivation are essential.
Demonstrated knowledge of insurance processes, including claim submission, HCPCS/CPT/ICD-9 coding, claim denials, and claim status inquiries.

1-5 years of experience in a healthcare setting such as a hospital business office, surgery center, physician's office, or health insurance provider.

High School Diploma or GED required; some college preferred.
Proficiency in medical billing/collection practices, computer systems, and business office procedures.
Familiarity with moderate medical coding (ICD-9, HCPCS, and CPT-4) and third-party operating procedures.

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