Full-time · Wichita, US
Job Title: Billing Lead
Reports to: Revenue Cycle Manager
Department: Finance
FLSA Class: Non-Exempt
Updated: June 2024
Summary: The Billing Lead provides daily operational leadership to the Billing team. This position works with insurance companies and patients to promote growth of patient service revenue.
Job Responsibilities:
Responsible for the accurate and timely submission of clean claims according to payer rules and guidelines.
Serves as the Subject Matter Expert (SME) in matters relating to Billing and Coding processes and requirements. Provides training to staff (new and existing) as required.
Monitors team production reports and adjusts workloads accordingly.
Posts payments, slides, and adjustments to patient pay accounts accurately.
Prepares and mails paper claims.
Assists with reviewing and working aging monthly through Aging and other open bill reports.
Communicates with patients, payers, attorneys and programs regarding claims, billing concerns or financial transactions.
Attends insurance training sessions and other meetings as directed.
Provides input to department manager on team performance and benchmarks.
Manages and monitor clearinghouse and payer portal rejections and return to payer (RTP) claims daily.
Handles any rebills or resubmits claims, as necessary.
Builds relationships with third party payer provider relations representatives.
Keeps up to date with changes regarding medical/dental billing rules and regulations.
Maintains a positive teamwork environment.
Maintains confidentiality and adheres to all HIPAA guidelines/regulations.
Performs all other duties as assigned.
Qualifications:
1-3 years in administration or health care administration or related field preferred.
Experience in medical insurance preferred.
Knowledge of Medicare, Medicaid, private payer, workers compensation and third-party liability rules for accurate billing is required. Knowledge of FQHC billing preferred.
High school diploma or GED required.
Medical billing and/or medical coding certification preferred.
Current working knowledge of ICD-9 coding is required, and ICD-10 and DSM coding knowledge, along with CPT (Level 1 HCPCS), Level 2 HCPCS and ADA codes is preferred.
Skills:
Physical and Mental Demands of the Job:
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. This is not an exhaustive list of all duties and responsibilities associated with this job. Hunter Health Clinic Inc. reserves the right to amend and change responsibilities to meet business and organizational needs.