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Billing Lead

3 months ago

Wichita Falls, Texas, United States Hunter Health Clinic Full time

This job was posted by : For more
information, please see:

Job Responsibilities:

  • Responsible for the accurate and timely submission of clean claims
    according to payer rules and guidelines.
  • Serves as the Subject Matter Expert (SME) in matters relating to
    Billing and Coding processes and requirements. Provides training to
    staff (new and existing) as required.
  • Monitors team production reports and adjusts workloads accordingly.
  • Posts payments, slides, and adjustments to patient pay accounts
    accurately.
  • Prepares and mails paper claims.
  • Assists with reviewing and working aging monthly through Aging and
    other open bill reports.
  • Communicates with patients, payers, attorneys and programs regarding
    claims, billing concerns or financial transactions.
  • Attends insurance training sessions and other meetings as directed.
  • Provides input to department manager on team performance and
    benchmarks.
  • Manages and monitor clearinghouse and payer portal rejections and
    return to payer (RTP) claims daily.
  • Handles any rebills or resubmits claims, as necessary.
  • Builds relationships with third party payer provider relations
    representatives.
  • Keeps up to date with changes regarding medical/dental billing rules
    and regulations.
  • Maintains a positive teamwork environment.
  • Maintains confidentiality and adheres to all HIPAA
    guidelines/regulations.
  • Performs all other duties as assigned.