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Bill Review Team Lead - I

MEDLOGIX, LLC
Hamilton, NJ Full Time
POSTED ON 1/7/2025 CLOSED ON 1/10/2025

What are the responsibilities and job description for the Bill Review Team Lead - I position at MEDLOGIX, LLC?

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.


Job Title: Bill Review Team Lead Level 1

Full time Remote

General Description:

Manage day-to-day operations of the medical bill review process support team to ensure SOPs are being followed and staff is aligned appropriately for the workload as defined in our clients’ SLAs.


Job duties:

  • Manage day-to-day workflow of the medical bill process support team to ensure the processes are being followed and timelines are met
  • Make decisions to document handling based on carrier specific criteria
  • Develop and maintain roles & responsibilities and manage staff in the confines of those
  • Manage staff overall effectiveness and performance (e.g. perform random sampling of bills for each user to ensure quality of the product)
  • Develop and maintain SOPs and meet with staff regularly
  • Provide department stats and observations monthly to management
  • Perform regular trend analyses of staff and processes and suggest process and system improvements
  • Ability to travel; if needed
  • Other job duties as assigned

Qualification:


Required
:

  • Excellent written and verbal communication skills
  • Strong analytical skills; detail oriented, the ability to think big picture/strategically
  • Quick learner: help manage change
  • Process and task oriented, ability to manage multiple workflow processes
  • Medical coding experience – medical bill documents
  • Strong leadership skills; minimum 2 years leadership experience
  • Computer savvy and previous experience using Microsoft Office Products


Preferred
:

  • Previous experience with medical bills
  • Previous experience managing documents and workflows

Education:

Bachelor’s Degree or Equivalent experience


EEOC STATEMENT:

Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.

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