Demo

Billing Revenue Ops Lead

Pacific Dental Services
Irving, TX Full Time
POSTED ON 3/28/2023 CLOSED ON 1/13/2024

What are the responsibilities and job description for the Billing Revenue Ops Lead position at Pacific Dental Services?

Description:
Now is the time to join Pacific Dental Services. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!
Overview:
The Lead ROC Billing Operation will be responsible with assisting ROC Billing Supervisors by providing support with daily tasks and work collectively as a team with ROC Billing Operation team members (Audit, Billing, Trace). The Lead ROC Billing Operation will also perform and meet all the responsibilities of an ROC Billing Operation team member.

Responsibilities

  • Will be responsible for training and complying with all duties assigned to the ROC Billing Operation team member role.
  • Lead team to maximize office collections, communicate issues and implement ideas to improve processes.
  • Maintain and ensure that insurance carrier standards are up to date.
  • Share updated information from insurance carriers in the form of quick reference guides.
  • Assist ROC Billing Operation Supervisors in the development and training of team members.
  • Provide end of day/week reports to ROC Billing Operation Supervisors on team progress.
  • Lead daily office hours with the onshore team to support the development and training of team members.
  • Provide staff with assistance in performing difficult or complicated accounts
  • Collaborate and share feedback with ROC Billing Operation Supervisors to increase team efficiency and communication.
  • Works with cross functional departments to research & resolve issues using innovative solutions
  • Be able to complete assigned tasks and other duties assigned from ROC Billing Operation Supervisors.
  • Lead and participate in meetings and training sessions as required.
  • Provide auditors, billers, insurance collection specialists with assistance in the follow-up outstanding questions.
  • Ensures training and compliance modules are completed as needed for all new team members.
  • May be involved to assists with work distribution for onshore and offshore team members
  • Interact with other PDS departments and team members regarding certain operations. This includes but is not limited to plan credentialing, eligibility, fees, pre-authorizations, billing, auditing, claims follow-up, LT&D, Epic, IT, Regional Analysts.
  • Maintains an appropriate professional appearance and demeanor in accordance with Company standards.
  • Other duties as assigned.

Required

  • Equivalent to High School Diploma or General Education Degree (GED)
  • Associate Degree from an accredited college or technical school
  • At least 1-3 years of related work experience
  • Intermediate skills using Microsoft Office applications.

Preferred

  • Experience in Dental Field, knowledge of Dental Insurance, ROC workflows

Knowledge/Skills/Abilities

  • Strong ability to lead and motivate team members during change.
  • Fostering employee development by providing a supportive learning environment.
  • Highly developed teambuilding, influencing, and collaboration skills.
  • Knowledgeable in HIPAA/PHI rules and regulations.
  • Ability to direct the work of others and work as a team leader in attainment of goals.
  • Ability to interpret and apply policies and procedures.
  • Ability to handle and maintain extreme confidentiality with employee records, compensation information, etc.
  • Ability to draw valid conclusions; apply sound judgment in making decisions and make decisions under pressure.
  • Strong written and verbal communication skills.

Benefits

  • Medical, dental, and vision insurance
  • Paid time off
  • Tuition Reimbursement
  • 401K
  • Paid time to volunteer in your local community

Pacific Dental Services is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.
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