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Healthcare Billing Team Leader

2 months ago

Alpharetta, Georgia, United States USOP, LLC Full time
Job Overview

MINIMUM QUALIFICATIONS:

  • Proficient computer skills
  • Excellent phone communication skills
  • Strong interpersonal abilities
  • Experience with insurance claims and reporting
  • Background in hospital or medical facility environments

KEY RESPONSIBILITIES:

  • Oversee the processing and posting of claims for patients enrolled in both private and public insurance plans, ensuring accurate updates and statuses in the Revenue Cycle Management (RCM) system.
  • Rectify any inaccuracies in patient information, account status, and insurance verification.
  • Manage daily submissions of insurance claims and conduct follow-ups as necessary.
  • Generate regular reports on claims status.
  • Address correspondence from insurance providers or patients, responding appropriately through various communication channels.
  • Prepare and send correspondence, forms, and other documentation to external agencies.
  • Investigate and process credits, including recoupments and refunds, for insurance companies and patients as warranted.
  • Maintain coding and policy updates with insurance entities.
  • Stay informed on ICD-10, CPT codes, and relevant medical terminology.
  • Serve as a subject matter expert in RCM, providing assistance and training to RCM specialists.
  • Perform additional duties and tasks as assigned.
  • Utilize Microsoft Office applications effectively (PowerPoint, Excel, Word, Outlook).
  • Familiarity with Modernizing Medicine practice management systems and orthopedic billing and collections is advantageous.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS:

Education:

Completion of a four-year high school program or equivalent (GED).

Experience:

A minimum of five to ten years of experience in healthcare Revenue Cycle Management related to the responsibilities outlined above.