Job Description
The Lead Billing Specialist (Biller) is responsible for the performance of a broad range of billing activities related to processing of claims for physician and practice-related ancillary services. The Lead Billing Specialist will maintain expertise in claims submission, accounts receivable management, interpretation of related practice documentation, and other relevant tasks in order to support a best-in-class patient care platform. The Billing Specialist will also demonstrate proficiency in multiple applicable software systems in addition to growth in areas supporting physician services including physician-administered drugs, imaging, and other ancillaries.
Responsible To: Director, Revenue Cycle Management Education/
Experience: High School Diploma or equivalent (GED) required Prior physician office and infusion drug experience highly preferred Excellent interpersonal, communication and organizational skills required Ability to prioritize, problem solve, and multitask is required MAJOR RESPONSIBILITIES Proactively submits and processes assigned third party payor billings (primary, secondary claims) to maximize accurate and timely billing Achieves daily accomplishments that produce progress towards monthly, quarterly and annual cash collection and accounts receivable goals Actively engages in assigned quality assurance tasks to safeguard accurate and timely claims creation including compliance with organizational policies and payor guidelines Identifies unresolved or incomplete work product within assigned scope of responsibilities for follow up and escalation in a timely fashion Identifies areas of opportunity or potential patterns of noncompliance during normal course of responsibilities and escalates appropriately for review Anticipates most efficient resources and activities needed to secure payment of open claims and invoices including use of online payor policy research, electronic submission tools, or appropriate escalation or triage Performs other duties as required.
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