Billing Lead

THIS IS NOT A REMOTE POSITION

Assists with the coordination and supervision of daily activities of a group of Billing  Specialist as well as support billing and collections functions of the medical practice.

• Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures
  of Tenet Physician Resources.
  
• Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality
  Agreement.
  
• Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of
  compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state
  laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific
  job functions/responsibilities; and reporting compliance issues/concerns in a timely and
  appropriate manner.
  
• Provides direction and guidance to less experienced team members.
  
• Recognizes and recommends areas needing improvement.
  
• Assist in scheduling and coordinating team activities.
  
• Handles escalated and unresolved issues from less experienced representatives.  Enter charges in a timely manner File claims and run/work audit trails daily
  
• Process ERAs, payments, and adjustments  Balance daily activity- Prepare and send Batch Cover Sheet to Director and accounting
  
• Ensure that front office staff properly collects copays and balances due at time of service by
  auditing patient financial data up to 2 days before visit
  
• Review/work delinquent insurance and patient balances  Work credit balances  Run reports as requested by management or accounting.
  Other responsibilities as assigned.

Education: High school diploma/GED required with completion billing or coding program preferred.
Certification:
Experience: Must have a minimum of 5 years of experience working in medical billing
Other Requirements: None
Performance Requirements:
Knowledge:
1. Knowledge of Accounts Receivable collection process
2. Knowledge of the Red Flag rules
3. Knowledge of Electronic Health Systems
4. Knowledge of ICD-9 and CPT codes