What are the responsibilities and job description for the Lead Medical Billing Specialist position at ID Care, PA?
Job Description
Job Summary:
Medical Billing Office seeking a Fulltime Team leader as a charge entry billing specialist. This position oversees 7 billing specialist staff members and requires substantial experience and understanding of the healthcare billing industry including ICD-10 CPT coding. Responsibilities entail capturing patient demographics from over 100 facilities, entering, reviewing and preparing patient and insurance data into the practice management system, researching and verifying accuracy of billing data and the revision of coding errors including adjustments and denials. Three years of work experience in a related field is necessary.
Duties and Essential Job Functions:
1. Oversee the day-to-day functions for a group of 7 coders which consist of Facility/Hospital, wound care, hyperbaric, infusion charge entry.
2. Responsible for reviewing patient logs, demographic, insurance eligibility and other activity to ensure billing is captured for all patients and completed accurately.
3. Monitor Insurance electronic claim billing process is completed successfully on a daily basis.
4. Report coding discrepancies to the Certified Coding Specialist Associate and Management team.
5. Stay up-to-date on current coding regulations, and departmental policies.
6. Assist with third party payer and other audit request, by compiling and organizing documentation.
7. Assist the coding and compliance team with the procedure manuals related to coding and billing compliance.
8. Train new and current Billing Specialist on ID Care charges and coding process.
9. Generate Excel spreadsheets for special projects as assigned.
10. Monitors and reports to Management team and Certified Coding Specialist on matters related to coding compliance.
11. Other duties as assigned.
Qualifications
Qualifications required:
1. High School Diploma/GED required, Bachelor’s degree preferred.
2. Certified Professional Coder with a 3 year minimum direct professional coding experience.
3. Strong knowledge of ICD-10, CPT/HCPCS coding guidelines.
4. Good judgment and decision-making skills
5. Strong ethics and a high level of personal and professional integrity
6. Computer literate and highly proficient in using MS Office
8. Strong oral and written skills
9. The ability to work overtime on as needed basis
Additional Information
All your information will be kept confidential according to EEO guidelines.
