Billing Team Lead

Job Description

Job Description

BILLING TEAM LEAD

At Neighborhood Health, we’re passionate about our mission to provide a kind and caring premiere workforce. Our team-based approach to comprehensive patient care creates a challenging and rewarding work environment where you have a direct role in helping members of our community receive quality medical services they can afford. And that’s something you can feel good about. 

As a member of our growing team, you will feel at home in a fun and diverse community of healthcare professionals. Our goal is simple: improving access to healthcare in our community and surrounding areas. Together, we are all committed to building healthier communities by delivering comprehensive, quality health care with compassion and respect.

As Billing Team Lead, you will oversee the activities of billing clerks. Maximize the collection of monies owed to NHC by Medical, Dental and Optometry self-pay patients and third party payers. Perform duties of direct reports at least 50% of the time. Maintain patient confidentiality and ensures compliance with HIPAA policies and procedures.

SUPERVISORY RESPONSIBILITIES:

• Assists the Revenue Cycle Manager in the day-to-day management of the billing department:

-Coordinates work assignments and schedules of the Billing Clerks to ensure optimum patient flow.

-Actively participates in patient complaint procedures to resolve operational problems.

-Ensures compliance with NHC policies and procedures, Federal/State regulations (ex. OSHA/HIPAA), and other grant requirements.

-Create user IDs as necessary for new employees.

-Resolve billing issues and open eCW billing work tickets as necessary.

• Assists in ensuring department is staffed with qualified, competent employees:

-Assists in interviewing prospective employees and provides input into the recommendations for hire.

-Coordinates training and orientation for all new billing hires to provide training and orientation for the billing clerk role.

-Provides input to supervisor for staff performance evaluations and disciplinary actions.

• Ensures department is functioning well as a team:

-Communicates departmental goals and sets “expectations of performance” for each team member.

-Identifies, analyzes, and facilitates resolution of any issues which are a barrier to the team achieving its goals.

-Plays a vital role in the success of NHC employee communication by keeping both staff and administration informed of any changes, ideas, concerns, etc.

-Analyzes the resources (staffing, equipment, technology, etc.) available to the department and when appropriate, recommends changes to improve efficiencies.

• Prepares staff timecards for payroll processing. Monitors staff attendance, tardiness, and overtime trends.
• Coaches Billing Clerks regarding issues/observations that arise, as needed.
• Performs duties in accordance with the Managers Standards of Conduct and NHC Mission Statement.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Assists the Revenue Cycle Manager with the development and supervision of the billing department.

-Coordinates with the Revenue Cycle Manager and management team on the goals/objectives of the billing department.

-Provides information and reports to the Revenue Cycle Manager to clearly describe activities and progress toward agreed upon goals.

-Responsible for ensuring data collection, preparing reports, answering correspondence, and compiling statistics for administrative and regulatory purposes, as required.

• Oversees the Billing operations:

-Works with PSR departments to resolve denial issues and effectively train PSR staff to limit insurance denials.

• Process claims daily.
• Responsible for ERA processing.
• Responsible for claim resubmission (AR report).
• Take calls from Neighborhood Health employees about billing-related issues.
• Conducts periodic audits to ensure that staff is performing duties in accordance with NHC policies/procedures.
• Actively participates in resolving operational and patient flow problems (ex. Patient complaints, issues involving ancillary services, etc.).
• Works closely with various in-house departments such as Enrollment, Scheduling, Nursing, and PSR to resolve outstanding issues or assist patients.
• Performs duties of a billing clerk:

-Assist with analyzing patient accounts to ensure accuracy, timely payment, timely referral to the collection process as necessary, and resolution of credit balances.

-Handle phone inquiries from patients regarding statements and billing.

-Run billing report.

-Posts self-pa checks received in the mail daily.

-Calculates patient’s discounts by calculating household income.

-Conducts insurance verification.

• Prepares periodic reports of work accomplished and compiles specific statistical data.
• Attends and participates in meetings and in-services as required. Participates in professional development activities. Chairs and serves on committees as requested.
• Performs duties in accordance with NHC Standards of Conduct and Mission Statement.
• Performs related work as required and other duties (similar physical requirements and OSHA risk level) as assigned.

REQUIRED SKILLS / ABILITIES:

• Medical Office-demonstrates a working knowledge of medical and/or dental office procedures, third party insurance and medical/dental coding; maintains knowledge of, and acts in accordance with, current NHC policies and procedures.
• Problem solving—identifies and resolves problems in a timely manner and gathers and analyzes information skillfully; reacts calmly and effectively in emergency situations.
• Interpersonal skills—exhibits strong conflict management, negotiation and consulting skills; remains open to others’ ideas and exhibits willingness to try new things; maintains friendly and supportive relationships with coworkers; talks through problems to keep channels of communication open and maintain a high level of trust; realizes the importance of, and practices, good customer service; and able to communicate effectively with people of varying cultures, socio-economic backgrounds, languages, and educational levels.
• Oral communication—speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills.
• Written communication—edits work for spelling and grammar, presents numerical data effectively and is able to read and interpret written information.
• Planning/organizing —is self-directed and motivated; independently prioritizes, performs and completes assignments within established deadlines; manages multiple conflicting priorities; when appropriate, seeks guidance from supervisor.
• Quality control—understands the importance of compliance standards and pays close attention to accuracy and detail when performing duties; demonstrates a working knowledge of how grant requirements and federal/state laws impact the day-to-day operations of NHC’s Medical Department.
• Adaptability—adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.
• Dependability—consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance.
• Safety and security—actively promotes and personally observes safety and security procedures, and uses equipment and materials properly.
• Computer & Math—proficient in Microsoft Word, Outlook, and Excel; proficient in basic math to make simple calculations; proficient in the use of practice management software to efficiently and accurately perform duties.

REQUIRED QUALIFICATIONS:

Education / Training - High School diploma or GED. Specialized training in medical and/or dental coding/billing preferred. Associates degree in a related field.

Experience: Minimum of three years of work experience in a medical, public health, or social service agency. Minimum of one year of supervisory responsibility. Prefer experience with medical practice management systems. Additional appropriate education may be substituted for one year of work experience.

Licensure/Certification: None

Physical Requirements:

Prolonged sitting, infrequent to occasional walking or standing. Requires ability to lift and carry items weighing up to 10 pounds. Requires eye-hand coordination and manual dexterity sufficient to operate office and related electronic equipment. Requires corrected vision and hearing to normal range to record, prepare, and communicate appropriate reports. Requires the ability to work under stressful conditions.

Work Environment:

Normal medical office environment. Work may involve irregular hours, including evenings or weekends. Involves frequent contact with other staff, physician’s offices, clients/patients, and the public. Contact may involve dealing with angry or upset people. Interaction with others is constant and interruptive. OSHA Category III - Tasks do not involve contact with blood or body substances and the performance of Category I or II tasks are not a condition of employment.

Neighborhood Health is an Equal Opportunity Employer. Neighborhood Health does not exclude people or treat them differently for any aspect of the organization because of race, color, national origin, age, disability (physical or mental), or sex (including sexual orientation).

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting Human Resources.