Billing and Coding Lead/Administrative Assistant

Job Description

Job Description

Responsibilities:

• Oversee day-to-day billing operations, patient insurance coverage verification, charge accuracy and approval, and claims submission.
• Collaborate with providers, billing company, and staff members to ensure accurate documentation and coding.
• Identify and resolve billing errors, denied claims, authorization issues, and reimbursement concerns.
• Maintain confidentiality of patient information and adhere to HIPAA regulations.
• Track and collect payments from carriers and patients, including setting up patient payment plans.
• Ensure compliance with payer contracts, Medicaid requirements, and billing regulations.
• Maintain knowledge of medical coding guidelines and regulations
• Monitor key performance indicators, analyze reimbursement trends and recommend operational improvements.
• Conduct audits and assist with financial reporting and revenue analysis.
• Ensure providers are properly credentialed and enrolled with payers, and monitor credentialing and payer enrollment activities that impact reimbursement.
• Conduct training for staff and monitor staff performance.
• Assign staff work schedules, including approval of time off, timesheet corrections, and overtime.
• Assist employees with difficult patients regarding billing issues.
• Create and implement workflow policy in collaboration with the Practice Administrator.
• Communicate with patients, insurance companies, and healthcare providers to resolve issues, de-escalate conflicts, and improve performance.
• Utilize Electronic Health Records and healthcare revenue cycle information systems.
• Other duties as assigned

 

Qualifications

• High school diploma or GED required; completion of an accredited medical billing and coding certification program preferred; 4-year degree preferred.
• Current BLS certification
• Knowledge of healthcare revenue cycle operations, including registration, eligibility, charge capture, coding, billing, claims processing, payment posting, denials, appeals, accounts receivable, and collections.
• Experience with Electronic Health Records and healthcare revenue cycle information systems. Proficiency with AdvancedMD is a plus.
• Competence with healthcare legal, regulatory, and compliance requirements affecting billing, reimbursement and patient care.
• Ability to work independently and prioritize tasks effectively
• Excellent interpersonal skills, ability to communicate clearly and effectively with patients and other external parties in a courteous and friendly manner at all times
• Must be detail-oriented and highly organized, with superior accuracy in coding and billing processes
• Firm grasp on medical practices, patient care, administrative processes, and organizational policies
• Must be able to maintain confidentiality at all times

\nCompany Description

Texas Lung Care Associates is a warm and caring pulmonology practice dedicated to providing quality care for patients. Our board-certified pulmonologist and specialized team are highly experienced in the diagnosis, treatment and management of a wide range of lung-related health conditions. At Texas Lung Care Associates, our commitment to our patients is evident through our supportive environment and personalized attention from our knowledgeable staff who strive to go above and beyond for each individual we serve. Proud recipients of Living Magazine’s Reader’s Choice Award for Best Pulmonologist 2023 and Society Life Magazine's Tops in Tarrant award for Pulmonary Care 2024 - 2026.

Company Description

Texas Lung Care Associates is a warm and caring pulmonology practice dedicated to providing quality care for patients. Our board-certified pulmonologist and specialized team are highly experienced in the diagnosis, treatment and management of a wide range of lung-related health conditions. At Texas Lung Care Associates, our commitment to our patients is evident through our supportive environment and personalized attention from our knowledgeable staff who strive to go above and beyond for each individual we serve. Proud recipients of Living Magazine’s Reader’s Choice Award for Best Pulmonologist 2023 and Society Life Magazine's Tops in Tarrant award for Pulmonary Care 2024 - 2026.