Medical Billing - Team Lead (AZ) |
| Location: | Scottsdale, AZ |
| Salary Range: | DOE |
| Exempt/Non-Exempt: | Non-Exempt |
| Benefits: | Competitive pay and flexible scheduling; F/T benefits include health, dental, vision, 401(k), PTO and holidays |
| Employment Type: | Full Time |
| Department: | Billing |
| Description: | The Medical Billing-Team Lead position ensures maximum reimbursement by directing the timely billing and collection for physician services. This is a functional team lead position serving as the primary point of contact between clients and PracticeMax and directing billing functions for clients. This is a mid-level billing position. Assists Operations Manager with all aspects of medical billing for clients.
PracticeMax provides business solutions to healthcare providers in a variety of specialties. For more information about PracticeMax please visit http://www.practicemax.com . This is a direct hire opportunity at our North Scottsdale location (Frank Lloyd Wright & the 101).
We offer competitive pay, flexible schedules, and excellent benefits for full time employees including health, dental, vision, 401(k), life, AD&D, paid vacation, sick and holidays. |
| Duties: | Oversee the billing and collections process for clients and verifies their insurance covers treatment.
Follow-up with insurance plans for primary, secondary and tertiary claims by phone and in writing, and communicate effectively with patients regarding balances.
Review A/R system and EOB to resolve incorrect denials. Denial management to include payer denials and denial solutions.
Credit balance management to include reviewing and resolving payment application errors. Resolve credit balances on outstanding accounts.
Ensures Accounts Receivable are collected properly.
Review and maintain unbilled charge reports, denial reports, and claim allocation reports.
Provide regular reports of results and activities to management.
Performs a variety of tasks; to include leading and directing the work of others.
Other duties as assigned.
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| Qualifications: | 2-4 years of follow-up and denial management experience or in a related area.
Basic understanding of coding, ICD-9 and CPT-4.
An intermediate working knowledge and understanding of Medical Terminology.
Field understanding of insurance, capitation and fee for service billing.
Detail oriented, excellent verbal and written communication skills and interpersonal skills.
Proficient in computer operations with knowledge of Microsoft Office; to include, Word (45-50 wpm) and Excel (spreadsheets).
Efficient and accurate ten-key skills.
Must deal professionally with highly confidential information and have a very good understanding of HIPAA in relation to PHI.
Must demonstrate behavior consistent with those identified as PracticeMax
core value behaviors.
Ability to successfully and positively work under pressure to meet
productivity guidelines.
Demonstrated ability to work with a large volume of accounts as well as a
sound understanding of computer technology.
High school education or GED equivalent.
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