What are the responsibilities and job description for the Billing/Insurance Verification Lead position at Mindful Behavioral Healthcare?
Job Title: Billing / Insurance Verification Lead
Department: Administration
Job Duties
Department: Administration
Job Duties
- Investigate and resolve issues escalated from team members and assigned clients.
- Work directly with clients to help resolve open issues and address concerns.
- Work with reimbursement/collections staff to understand and maintain client expectations.
- Learn each assigned client's policies, procedures and practice and apply appropriately to day-to-day patient activities.
- Educate Patients on new or existing process(s) according to medical documentation and billing guidelines.
- Begin and maintain positive, professional, and effective working communications, interactions, and relationships with Patient leads.
- Supervise the patient registration process for accuracy including verification of insurance, waivers, assigned providers, etc.
- Manage patient flow along with the back office staff.
- Oversee and maintain employee timecards, PTO requests, expense reports, etc.
- Ensure compliance with all licensing including local, State, and Federal regulatory agencies related to clinical services.
- Follow and enforce company policies and procedures. Lead by setting an example for all team members.
- Protect the organization's values and principles by keeping information confidential and current.
- Lead by example and champion the company's vision, mission, and values.
- Additional duties as assigned by management.
- Minimum 5 years of professional billing management experience.
- Bachelors degree in business administration or healthcare management.
- Must be self-directed, highly motivated, and organized, with strong interpersonal, written and oral communication skills.
- Solid computer and database maintenance skills are necessary
- Communicate professionally and thoroughly with both internal and external contacts.
- Maintain and respect confidentiality regarding proprietary information and in accordance with all patient confidentiality/HIPAA-related regulations.
- Knowledge of medical professional fee billing and collections CPT,ICD9/10 and HCPC coding and medical terminology as well as understanding of managed care products and processes.
- Knowledge of insurance claim adjudication practices.
- Knowledge of reporting requirements to support revenue cycle activities.
- Knowledge of regulatory and legal requirements associated with billing activities.
- Knowledge of provider enrollment procedure.
- Excellent analytic, problem solving and organizational skills.
- 401K match
- Medical
- Dental
- Vision
- Life Insurance
