Team Leader

Team Leader

Facilitates accurate and timely billing to third party payers, as well as efficient follow-up on unpaid and denied claims

RESPONSIBILITIES

• Works closely with department Supervisor to ensure effective distribution of work for optimum outcomes in accounts receivable.
• Facilitates ongoing self-evaluation of team effectiveness. Solves problems on a daily basis and communicates resolution to Supervisor.
• Trains new employees and assists in resolution of problem accounts, bringing concerns, complaints and new ideas from the team to Supervisor.
• Is responsible for filing insurance claims for all third party payers. Addresses any edits pertaining to billing correctly and accurately, reports repetitive edits to management for system correction.
• Promotes / portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism. Adheres to the departmental dress code policy and maintains a professional appearance and positive attitude.
• Promotes positive relationships among co-workers. Communicates effectively within the department and keeps management informed on key issues
• Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected and rebilled successfully.
• Follows up on unpaid or denied claims. Actively works on assigned queues incorporating high dollar report and denial queue into this process. Processes credit balances and issues refund requests where appropriate.
• Stays informed of all rules and regulations governing billing and reimbursement of 3rd party payors. Utilizes tools available to each payors including; websites, payor meetings, educational seminars and provider reps.
• Performs other related duties as assigned.

QUALIFICATIONS / REQUIREMENTS

EXPERIENCE

EDUCATION

LICENSES / CERTIFICATIONS

OTHER

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