Accounts Rec Billing Lead

Job description

SUMMARY:
Responsible to coordinate and oversee the day-to-day activities of billing, collections, productivity, quality and A/R aging of designated team, with particular hands-on attention to A/R billing and follow-up. A/R categories are Medicare, Medi-Cal and Commercial.
ESSENTIAL FUNCTIONS :
• Coordinate and oversee day-to-day activities within the designated team to include but not limited to, over-seeing the timely billing and account resolution of all payers in category.
• Demonstrates a thorough knowledge and understanding of billing and follow-up policies on and on-going basis and answer questions from co-workers when necessary.
• Practices continuous efficiency/process improvement implements corrective action, monitors and reports findings to the Director of Patient Accounting.
• Establishes productivity standards for timeliness and productivity of responsible activities.
• Performs staff job responsibilities as needed. Coordinates respective staff member’s work schedules, whereby assuring adequate coverage, in an effort to carry out day-to-day responsibilities.
• Performs internal training of new/current employees, as well as cross training current employees whereby assuring coverage of critical job duties to ensure competency level.
• Manages and identifies inappropriate employee behavior, initiates and monitors corrective actions according to organizational policies and procedures.
• Keeps informed of all Government, HMO, PPO, Workers Compensation, and third-party payer regulations and procedures affecting the billing, collection, and reimbursement of claims.
• Provides feedback to Director, Registration Manager, and/or other departments as it relates to quality of work generated by departments and their impact of claim submission and subsequent account resolutions.
• Acts in the capacity of health information system (Affinity) analyst and troubleshooter, as well as other A/R systems.

OTHER RESPONSIBILITIES :
Other duties as assigned from time to time.
Customer Service.
SUPERVISORY RESPONSIBILITIES:
Billers and collectors part of A/R team.
EDUCATION, KNOWLEDGE, SKILLS, ABILITIES, AND EXPERIENCE:
• High school diploma and/or equivalency. Three to five years in a healthcare Business Office environment is required; Healthcare, hospital preferred, billing experience is required with knowledge of claims submission and follow-up processes for Third Party Payers, HMO/PPO, Workers Compensation, Medicare, and Medi-Cal. Familiarity with reimbursement structures as it applies to all payers.
• Mathematical ability is required to review and complete statistical data on various reports; Strong clerical background is required.
• Experience with on-line terminal equipment and automated systems, including personal computers and adding machines. Ability to prioritize multiple projects; Ability to compile and analyze data.
• Strong oral, written, and interpersonal communication skills.
• A full-time employee who can demonstrate that they have the ability to develop positive working relations with all internal and external people they come into contact with.

LICENSES AND CERTIFICATIONS:
Preferred but not required- Certified Revenue Cycle Specialist (CRCS) Certification.
AGE OF POPULATION SERVED :
Newborn  Infant/Pediatric  Adolescent  Adult  Geriatric  All  No Patient Care X
PHYSICAL REQUIREMENTS :
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.