Medical Billing Lead

2 weeks ago


Edmond, Oklahoma, United States Variety Care Full time
Job Title: Medical Billing Lead

At 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 submission
  • Manage the work of other billing staff and provide guidance and support as needed
  • Assist with training and development of new and existing staff
  • Review and apply discounts to self-pay claims
  • Make billing corrections and adjustments to ensure prompt payment and accuracy of balances
  • Validate payer information and verify patient eligibility
  • Communicate with patients and staff regarding billing and payment inquiries
  • Process secondary and tertiary claims accurately and timely
  • Coordinate with Claims Resolution Specialists to investigate denied claims and credit balances
  • Complete rejection and rebill requests
  • Follow up on pending claims and work to resolution
  • Assist patients with payment arrangements and issue individual statements as needed
  • Support front staff with billing and eligibility-related questions
  • Maintain billing for special programs as assigned
  • Produce itemized billing for law firms and other agencies
  • Process DLO invoices and send requested information
  • Create daily deposit slips for self-pay and private pay accounts
  • Collect credit card payments and post to respective accounts
  • Stay up-to-date with dental, behavioral health, and vision claims and processes
  • Report trends to Manager of Revenue Cycle Management for review and action
  • Meet established deadlines and uphold compliance guidelines
  • Exhibit professionalism in communication with patients, clients, insurance companies, and coworkers
  • Participate in special projects as assigned
  • Support Variety Care's accreditation as a Patient-Centered Medical Home and our commitment to providing care to all Variety patients
Requirements:
  • High school diploma or GED
  • Five years of experience in third-party billing in a Family Practice setting
  • Experience filing third-party claims and reports in a timely manner
  • Effective communication and interpersonal skills
  • Basic knowledge of CPT codes and medical terminology
  • Proficiency with Microsoft Office and practice management software systems
  • Experience assisting and supporting others in a professional and respectful manner
Preferred Requirements:
  • Bilingual (English/Spanish)


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