What are the responsibilities and job description for the Lead - Business Office position at ORTHOPAEDIC ASSOCIATES OF WISCONSIN?

Job Description

Description :

The Lead provides support to the Business office teams. In addition, this role supports the Business Office Manager by assisting with team staffing, problem resolution, and team related projects to improve patient service levels. As a working lead, approximately 25% of this role will be handling coding and other business office tasks.

Requirements : Key Responsibilities

Team Coordination and Communication : Serve as the central point of contact between coders, billing specialists, and other clinic staff to ensure seamless communication and collaboration, addressing questions and concerns promptly.
Workflow Management : Oversee and streamline the daily workflow of the business office team, ensuring coding and billing tasks are completed efficiently and in compliance with clinic policies and industry regulations.
Training and Development : Provide ongoing training and mentoring for coders and billing specialists to keep them updated on coding guidelines (e.g., ICD-10, CPT), insurance policies, and billing practices.
Performance Monitoring : Set performance goals for team members, track progress, and provide constructive feedback to maintain high standards of productivity and quality.
Issue Resolution : Act as a problem-solver for escalated issues, such as denied claims, coding errors, or insurance disputes, ensuring timely resolution and maintaining positive relationships with payers.
Compliance Oversight : Ensure the business office adheres to HIPAA, state, and federal regulations, as well as payer-specific guidelines, safeguarding patient information and maintaining the clinic’s reputation.
Other duties as assigned

Education :

High school diploma or equivalent; Associates degree preferred

Experience :

5 years of related experience, preferably leading others in a clinic environment

Experience leading, training, mentoring, and selecting other team members

Strong technology skills, including Microsoft Office and an EMR (ideally EPIC)

Knowledge / Skills / Abilities :

Able to work with minimal supervision, prioritize work, and work effectively under stress

Ability to anticipate needs, thinking proactively and systemically, and analyze data

Ability to assess others based on objective criteria

Ability to handle sensitive and confidential information

Ability to problem solve in a fast paced and / or ambiguous work environment

Able and willing to step in whenever necessary to handle additional duties

Strong customer service skills (toward patients, providers, team members, management, etc.)

Exceptional interpersonal skills to build and cultivate relationships

Leadership and the ability to get results through others

Strong attention to details and accuracy

Strong communication skills (written, verbal, listening, presentation)

Time management skills, to meet multiple and changing deadlines

Physical Demands :

Ability to work in a fast paced, rapidly changing environment

Will need to stop, bend, and at times lift up to 25 lbs., etc.

Some local travel between sites; may need to flex hours and work early mornings or evenings as needed

Standard office / clinic environments with low noise

Use of standard office equipment while standing or sitting; may sit for long periods of time

Will type and view computer screens for long periods

Equal Employment Opportunity

OAW provides equal employment opportunity to all applicants and employees. OAW disapproves of, and will not tolerate, unlawful discrimination against any applicant or employee because of race, color, national origin or ancestry, gender (including pregnancy, childbirth, or related medical conditions), gender identity, age, religion, disability, family care status, veteran status, marital status, sexual orientation, or any other basis protected by local, state, or federal laws.

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Lead - Business Office

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