Lead Medical Billing Collections Specialist
2 weeks ago
Position Title: Medical Billing Collections Team Lead
Location: Not specified
Industry Sector: Healthcare
Compensation: $23-28/hr
About Addison Group:
Addison Group is partnering with a prominent healthcare organization dedicated to excellence in revenue cycle management. This organization prioritizes exceptional service while ensuring efficient billing and collection operations.
Role Summary:
The Medical Billing Collections Team Lead is tasked with overseeing a team of medical collectors. Responsibilities include facilitating regular team meetings, delivering performance evaluations, and ensuring that collection objectives are achieved. This role necessitates a comprehensive understanding of revenue cycle operations and the capability to mentor and support team members effectively.
Key Duties:
- Remain updated on modifications in billing practices, insurance protocols, and applicable regulations.
- Initiate and manage follow-ups on unpaid or denied claims with insurance providers.
- Investigate, appeal, and resolve outstanding insurance claims.
- Consistently follow up on all claims, ensuring the resolution of billing discrepancies according to established procedures.
- Address inquiries and correspondence from insurance entities.
- Provide leadership, guidance, and oversight to the designated team.
- Assist the Supervisor with auditing, production analysis, and team support.
- Manage escalated issues from team members through various communication channels.
- Conduct weekly team meetings or individual sessions to assess performance and training requirements.
- Efficiently manage claim volumes within corporate timelines.
- Identify, rectify, and sustain enhancements in production, workflow, and training.
- Submit weekly performance reports to management.
- Achieve established performance targets in efficiency, accuracy, quality, and team satisfaction.
- Adhere to all departmental processes and procedures as directed by management.
- Perform additional responsibilities as assigned by the department manager.
Qualifications:
- High School Diploma or GED required.
- 3-5 years of experience in insurance follow-up and collections.
- Thorough knowledge of medical billing, revenue cycle management, appeals, and customer service.
- Demonstrated ability to delegate tasks and implement processes effectively.
- Strong verbal and written communication skills.
- Positive demeanor, team-oriented, with the ability to work independently.
- Experience interpreting Explanation of Benefits (EOBs).
- Proven success in managing appeals in a high-volume claims environment.
- Experience with commercial insurance, Medicare, Medicaid, and other government payers.
- Familiarity with EPower and Centricity is preferred.
- Proficiency with computer applications, including the ability to quickly learn new systems.
- Typing speed of 45-60 WPM.
- Prior leadership training or experience is required.
Additional Information:
This position is well-suited for individuals with a robust background in medical billing and collections, who also possess team leadership experience. The role offers an opportunity to contribute to a successful healthcare organization while advancing your career.
Benefits:
- Collaborate with a respected healthcare provider.
- Consistent weekday schedule.
- Opportunities for professional development and career advancement.
- Comprehensive benefits package, including health, dental, vision, and retirement plans.
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