What are the responsibilities and job description for the Team Lead, ED Billing position at LogixHealth?
Are you interested in joining a team that strives to positively impact the healthcare system?
LogixHealth provides services and technology that result in smarter healthcare. We need the best and most inspired team members and are looking for people with a high level of intellectual curiosity and drive who always ask "why" and "how can we do it smarter."
If we have piqued your interest and you also possess:
- A strong attention to detail, active listening skills and the ability to multitask
- Proficient computer and Microsoft Excel skills
- Effective communication and organization skills
We want to meet YOU!
Purpose
Process all denied and unpaid claims submitted to insurance carriers to ensure payments are received and provide oversight to internal Billing Specialists doing similar work.
Duties and Responsibilities
- Review all denials on an explanation of benefits (EOB) and work on issues/errors until resolved
- Review A/R reports to follow up on any unpaid claims
- Submit required appeals when needed
- Submit any required documentation to insurance companies as requested
- Review claims for accuracy to ensure it is processed in a timely manner
- Communicate with insurance companies, adjustors and attorneys on a regular basis
- Correct any errors and resubmit all unprocessed or returned claims to insurance companies
- Enter new information into billing software to create HCFA bills
- Assist the Billing staff in resolving issues and answering their questions
- Forward issues to appropriate Account Manager & Billing Manager when necessary
- Review the Billing staff’s A/R reports to ensure they are being reviewed and worked on
- Help out other departments with projects as assigned
Qualifications
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
High School Diploma or equivalent combination of education and experience required.
Computer Skills
Prior MS Office experience, including proficiency with Excel and Word, and internet software experience required.
Experience
One to two years related billing experience preferred; Previous Billing Specialist experience highly desired.
Specific Job Knowledge, Skill and Ability
- Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals
- Ability to compute rates, ratios and percentages
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
- Ability to write routine reports and correspondence
- Ability to communicate effectively verbally and in writing
- Ability to speak effectively before groups of customer or fellow employees
- Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
- Ability to deal with problems involving several concrete variables in standardized situations
- Specific vision abilities required by this job include close vision
- Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms
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