Remote - Lead PFS Medical Billing Specialist

Candidates residing in the following states will be considered forremoteemployment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia.Remotework will not be permitted from any other state at this time The PFS Medical Billing Specialist Lead's general responsibilities include but are not limited to: Performs as a proxy for the department manager as needed Participates and coordinates productivity and quality program standards as needed Participates and coordinates payer meetings as needed Performs as a subject matter expert to caregivers for account resolutions Ensures and stays up to date on hospital and/or clinic compliance with all state and federal regulations and reports suspected compliance issues to the department manager Plans, coordinates, and implements on boarding efforts for new caregivers Organizes and implements initial and on-going staff training and education in collaboration with the department leader as needed to drive departmental performance. This includes but is not limited to: One-on-One training sessions, group training sessions, and educational meetings for new and updated payer guidelines. Assists departmental leaders in establishing, implementing and verifying adherence to controls that maintain appropriate billing and reimbursement practices Acts as a mentor to any caregiver within the organization Works regularly with all revenue cycle departments to analyze and resolve accounts Ensure month-end reconciliation reports are completed accurately each month Assists the department manager in compiling reports as needed Accurately bill claims Ensure timely filing deadlines are met for various payers Adequately bill claims per compliance and payer guidelines Collaborate with various areas of revenue cycle and the organization to ensure accurate and timely billing of claims Stay current on compliance and payer policies and share information with other caregivers within the organization Act as a mentor to caregivers in the Medical Billing Specialist I and II roles Participates in team activities, trainings and/or educational meetings Identifies trends and root causes to issues Escalates trends with solution proposals Proactively researches and understands payer issues Collaborates with payer representatives regarding compliant claim submissions Assists with special projects, audits and reports Provides extensive analysis and research for complex claim errors and rejections Identifies solutions to complex claim errors and rejections Projects enthusiasm and energy in all efforts #J-18808-Ljbffr Mosaic Life Care