What are the responsibilities and job description for the Billing Department Lead position at Sports Medicine Associates of San Antonio?
Sports medicine physician practice looking for a highly motivated individual to join the Business Office department as the Billing Department Lead
DUTIES INCLUDE, BUT ARE NOT LIMITED TO:
- Provide oversight and assistance to the Billing Department - Billing/Collecting/Payment Posting/Credentialing
- Liaison between Billing Department staff and Business Office Manager
- Liaison between Billing Department staff and Clinical Directors
- Liaison between Billing Department staff and IT support
- Provide feedback to Directors on claims issues that relate to other departments
- Monitor weekly billing productivity to ensure billing is submitted timely
- Review weekly POD billing and AR reports
- Minimum of 1 year experience as a medical biller/coder
- Monitor billing of all new services
- Assist with POD claims projects as needed
- Approve write-off requests, refund requests, and 3rd party settlement requests
- Assist in monthly reporting to Directors, CEO, and Partners
- Timecard management, PTO requests and approvals
- Assist in interviewing, hiring, disciplinary actions, staff reviews and performance evaluations
- Train new Billing Department staff
- Coordinate staff and call coverage
- Provide coverage and support as needed
- Manage patient complaints Compliance
- Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication.
- Responsible for correcting, completing, and processing claims for all payer codes.
- Analyze and interpret that claims are accurately sent to insurance companies.
- Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.
- Process appeals online or via paper submission.
- Assist in reconciling deposit and patient collections.
- Assist with billing audit related information.
- Process refund requests.
- Communicate with billing and credentialing coordinator to identify and resolve audit review issues.
- Process billing calls and questions from patients and third party carriers.
- Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.
- Communicate daily with internal and external customers via phone calls and written communications.
- Research, record findings, and communicates effectively with Manager to achieve optimum performance.
- Pursue and participate in education to remain current with changes in the Healthcare industry.
- Maintain patient confidence and protects medical office operations by keeping patient information confidential.
- Contribute to team effort by accomplishing related results as needed.
- Promote effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives.
- Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to insure a professional, responsible and courteous environment.
- Attend on-site/off-site community engagement activities and on-site/off-site clinic events as needed.
- Perform other duties as assigned
Qualifications:
Education: High School diploma or GED required
Experience: Minimum of 1 year experience as a medical biller/coder
Experience with electronic scheduling system and electronic medical records (EMR) required.
Familiar with medical terminology
