Medical Billing Lead

4 weeks ago

Edmond, Oklahoma, United States Variety Care Full time
Job Summary:

The Medical Billing Lead is a key member of the Revenue Cycle Management team at Variety Care. This role is responsible for reviewing and scrubbing claims, filing third-party claims, self-pay patient billing, and answering billing questions from patients and staff. The Medical Billing Lead will also be responsible for the administration of special programs as assigned.

Key Responsibilities:

The Medical Billing Lead will be responsible for the following key duties and responsibilities:
  1. Reviews assigned claims daily to ensure accuracy prior to claim submission.
  2. Reviews work of other Billing staff and answers questions when needed.
  3. Assists with training of new and existing staff.
  4. Reviews documentation on self-pay claims to ensure that the appropriate discount is applied.
  5. Makes billing corrections and adjustments to claims as appropriate to ensure prompt payment and accuracy of balance.
  6. Validates the correct payer for claim as well as verify patient eligibility when in question.
  7. Contacts patients for missing information or clarification of documentation.
  8. Requests documentation and/or information required to process claims. Scans and uploads documentation and information to patient accounts as applicable.
  9. Submits claims to clearinghouse daily.
  10. Processes secondary and tertiary claims accurately and timely to ensure payment.
  11. Coordinates with the Claims Resolution Specialists to assist in investigating denied claims and credit balances and coding corrections.
  12. Completes rejection and rebill requests.
  13. Follows up on pending claims and work to resolution.
  14. Assists with patient phone calls regarding balances and benefits; advises patients of deductibles and co-payment status.
  15. Assists patients with payment arrangements by coordinating with a Collection Specialist. Issues individual statements when necessary on patient accounts.
  16. Assists the front staff with billing and eligibility related questions.
  17. Keeps abreast of the variety of programs offered at each site and applies benefits correctly to patient charges.
  18. Maintains billing for special programs as assigned.
  19. Produces itemized billing requested by law firms or other agencies.
  20. Processes DLO invoices monthly and sends all requested information from accounts.
  21. Creates daily deposit slips on self-pay and private pay accounts.
  22. Collect credit card payments from patients and post to respective accounts.
  23. Keeps current with dental, behavior health, and vision claims and processes.
  24. Reports trends to Manager of Revenue Cycle Management for review and action.
  25. Meets established daily, weekly, monthly, and annual deadlines.
  26. Upholds Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
  27. Follows written and verbal instructions from the Manager of Revenue Cycle Management.
  28. Exhibits professionalism in communication with patients, clients, insurance companies and co-workers.
  29. Participates in special projects as assigned.
  30. Supports Variety Care's accreditation as a Patient Centered Medical Home and our commitment to provide care to all Variety patients that is Safe, Effective, Patient Centered, Timely, Efficient, and Equitable. Provides leadership and work with all staff to achieve the goals of the 'Triple Aim' of healthcare reform-to improve the experience of care, improve health outcomes, and decrease healthcare costs.
  31. Embodies the strength of personal character. Places value on being an open and honest communicator who displays high moral and ethical conduct, integrity, adaptability, and sound judgment. Must be a leader in the department and community. Result-oriented problem solver who is responsible and accountable.
  32. Performs other duties as assigned.

Requirements and Qualifications:

The ideal candidate will have the following qualifications and experience:
  1. High school diploma or GED.
  2. Five years of experience in third party billing in a Family Practice setting.
  3. Experience filing third party claims and reports in a timely manner.
  4. Experience interacting and communicating effectively with individuals at various levels both inside and outside the organization, often in sensitive situations.
  5. Basic knowledge of CPT codes. Experience monitoring coding changes to ensure that the most current information is available.
  6. Basic knowledge of medical terminology and protocols.
  7. Basic knowledge of coding and anatomy.
  8. Mastery of critical thinking, analytics, problem-solving and sound decision-making skills.
  9. Proficiency with Microsoft Office and practice management software systems.
  10. Experience assisting and supporting others in a professional and respectful manner.

Preferred Qualifications:

The following qualifications are preferred:
  1. Bilingual (English/Spanish).

Essential Functions:

The following are the essential functions of this role:
  1. Must be able to lift 25 pounds.
  2. Must be able to sit for extended periods of time.
  3. Must have excellent concentration ability.

  • Medical Billing Lead

    1 month ago

    Edmond, Oklahoma, United States Variety Care Full time

    Job Title: Medical Billing LeadAt Variety Care, we are seeking a highly skilled Medical Billing Lead to join our team. As a key member of our Revenue Cycle Management department, you will be responsible for ensuring the accuracy and efficiency of our medical billing processes.Key Responsibilities:Review and scrub claims to ensure accuracy prior to...

  • Medical Surgical Nurse

    1 month ago

    Edmond, Oklahoma, United States Aureus Group Full time

    Med Surg RN Needed for 13 Week Travel Assignment in OklahomaJoin our team of skilled medical professionals and take on a challenging 13-week travel assignment in Oklahoma. As a Med Surg RN, you will be responsible for providing high-quality patient care in a fast-paced medical surgical environment.Shift Information: Night shifts, 3x12-hour shifts, 18:30 -...

  • Travel Nurse ICU RN

    4 weeks ago

    Edmond, Oklahoma, United States Medical Solutions Full time

    Job Title: ICU Travel Nurse RNMedical Solutions is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in a hospital setting.Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelWe're seeking talented healthcare professionals...

  • Medical Nurse

    4 weeks ago

    Edmond, Oklahoma, United States Aureus Medical Group - Nursing Full time

    Aureus Medical Group - Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in a leading facility in Oklahoma. Job Details:• Shift: 12 hours, nights• Employment Type: TravelBenefits:• Outstanding benefits package• One-to-one personal service• 24/7 contact• Recruiter specializing in your area of specialtyAbout Aureus Medical...

  • Travel Nurse

    4 weeks ago

    Edmond, Oklahoma, United States Aureus Medical Group - Nursing Full time

    Aureus Medical Group - Nursing is seeking a travel nurse RN for a medical surgical position in a leading facility in Oklahoma.Job Details:Shift: 12 hours, nights Employment Type: Travel As a travel nurse with Aureus Medical Group, you'll have the opportunity to work in a variety of settings and specialties, including medical surgical.Benefits:Outstanding...

  • Intensive Care Nurse

    4 weeks ago

    Edmond, Oklahoma, United States Aureus Group Full time

    Job Details:Seeking a skilled Intensive Care Registered Nurse for a travel assignment at a leading facility in Oklahoma. As a member of the Aureus Medical Group team, you will have the opportunity to enhance your clinical skills, perfect your resume, and build your dream career.Responsibilities: Provide high-quality patient care in the ICU setting...

  • Senior Patient Account Representative

    4 weeks ago

    Edmond, Oklahoma, United States OU Health Full time

    Job Title: Senior Patient Account RepresentativeJob Summary: We are seeking a highly skilled and detail-oriented Senior Patient Account Representative to join our team at OU Health. As a key member of our Transplant and Cellular Therapy Program, you will be responsible for managing patient accounts, processing billing and collections, and ensuring accurate...

  • Long Term Care Business Office Director

    3 weeks ago

    Edmond, Oklahoma, United States Voyage Long Term Care Full time

    Voyage Long Term Care is seeking a highly skilled Business Office Manager to lead our Bethany, OK facility. The ideal candidate will have previous experience in a Business Office Manager role in a long-term care or healthcare setting and strong knowledge of Medicare, Medicaid, and insurance billing.Our Business Office Manager will be responsible for managing...

  • Pharmacy Manager

    1 month ago

    Edmond, Oklahoma, United States Elevance Health Full time

    Job SummaryElevance Health is seeking a highly skilled Pharmacy Manager to lead our Home Infusion team. As a key member of our organization, you will be responsible for overseeing the daily operations of our specialty pharmacy services, including patient care, physician account management, and clinical expertise.Key ResponsibilitiesTrain and manage the...

  • Medical Sales Representative

    4 weeks ago

    Edmond, Oklahoma, United States Stryker Full time

    Job SummaryWe are seeking a highly motivated and results-driven Sales Associate to join our Sports Medicine team. As a Sales Associate, you will be responsible for promoting and selling Stryker's medical devices to healthcare professionals and facilities. You will work closely with our Sales Representatives to develop and execute sales strategies, build...

  • Medical Surgical Nurse

    4 weeks ago

    Edmond, Oklahoma, United States TotalMed Staffing Full time

    We are seeking a dedicated and experienced Medical Surgical / Telemetry Nurse for a travel assignment in a dynamic healthcare setting. The ideal candidate will provide high-quality care to patients in a medical-surgical and telemetry environment, monitoring their conditions and administering medications. This position offers an opportunity for professional...

  • Senior Quality Assurance Lead

    3 weeks ago

    Edmond, Oklahoma, United States Life Full time

    Quality Assurance Role at Life ChurchThe Senior Quality Assurance Lead at Life Church is responsible for overseeing the quality assurance process across multiple projects. This role involves working closely with developers, product managers, and other stakeholders to ensure that software meets established quality standards.Key Responsibilities:Design and...

  • Front Desk Receptionist

    3 weeks ago

    Edmond, Oklahoma, United States Healthcare Partners Investments Full time

    Job Title: Front Desk ReceptionistJob Summary: We are seeking a professional and friendly Front Desk Receptionist to join our team at Healthcare Partners Investments. The ideal candidate will have excellent customer service skills and be able to work in a fast-paced environment.Responsibilities:Answering phones and responding to patient inquiriesChecking...

  • Patient Access Specialist Senior

    4 weeks ago

    Edmond, Oklahoma, United States INTEGRIS Health Full time

    At INTEGRIS Health Southwest Medical Center, we are seeking a highly skilled Patient Access Specialist to join our team. In this role, you will work closely with our Patient Access team to ensure seamless patient registration and billing processes. Your expertise will be instrumental in maintaining accurate and up-to-date patient information, while also...

  • RN Manager

    4 weeks ago

    Edmond, Oklahoma, United States OU Health Full time

    Job Title: RN Manager - Geriatric Psychiatric Unit LeadOU Health is seeking a highly skilled and experienced RN Manager to lead our Geriatric Psychiatric Unit. As a key member of our Behavioral Health team, you will be responsible for planning, directing, and coordinating services to ensure high-quality patient care.Key Responsibilities:Direct and coordinate...

  • Field Sales Ambassador

    4 weeks ago

    Edmond, Oklahoma, United States U.S. LawShield Full time

    Unlock Your Earning PotentialAs a Field Sales Representative with U.S. LawShield, you'll be the face of our organization, connecting with prospective members at events and workshops across the country. Your passion for self-defense education and security will shine through as you share the benefits of our membership with communities in need.Key...

  • Medical Practice Site Director

    4 weeks ago

    Edmond, Oklahoma, United States Oklahoma Arthritis Center Full time

    Job SummaryOklahoma Arthritis Center is seeking a highly skilled and experienced Medical Practice Site Director to lead our team in Edmond, Oklahoma.The successful candidate will provide technical support and leadership to supervisors and leads, ensuring the highest quality of customer service is provided at all delivery systems within the practice.Key...

  • Patient Access Specialist Sr.

    1 month ago

    Edmond, Oklahoma, United States INTEGRIS Health Full time

    Job DescriptionINTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a highly skilled Patient Access Specialist Sr. to join our team in Oklahoma City, OK.This is an exceptional opportunity to work with our Access Center team, providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs.As a Patient...

  • Cardiovascular Technologist

    3 weeks ago

    Edmond, Oklahoma, United States Samba Care Full time

    Job Summary:Samba Care is seeking a skilled Cardiovascular Technologist to join our team of medical professionals. As a travel Cardiovascular Technologist, you will be responsible for administering tests to determine the cardiovascular health of patients.Key Responsibilities:Perform diagnostic tests on patients to determine cardiovascular healthMonitor...

  • Lead Transportation Security Officer

    3 weeks ago

    Edmond, Oklahoma, United States Transportation Security Administration Full time

    Job SummaryAt the Transportation Security Administration, you will serve in a high-stakes environment to safeguard the American way of life. In cities across the country, you would secure airports, seaports, railroads, highways, and/or public transit systems, thus protecting America's transportation infrastructure and ensuring freedom of movement for people...