Job description

Lead Billing Specialist

Full-time

Job Description

Job Summary:

Lead Biller- This position oversees 3 billing specialist staff members and requires substantial experience and understanding of the healthcare billing industry including ICD-10 + CPT coding. Responsibilities entail weekly billing of Medicare, Commercial VA billing, posting payments and denials. Researching and verifying accuracy of billing data and the revision of coding errors including adjustments and denials. Three years of work experience in a related field is necessary.

Duties and Essential Job Functions:

1. Responsible for making sure that billing is captured for all patients and completed accurately.

2. Monitor Insurance electronic claim billing process is completed successfully on a weekly basis.

3. Report coding discrepancies to the Billing Manager and QA Manager.

4. Stay up to date on current coding regulations, and departmental policies.

5. Assist with third party payer and other audit request, by compiling and organizing documentation.

6. Assist the Billing Manager with procedure manuals related to coding and billing compliance.

7. Train new and current Billing Specialist on updated process and procedures.

8. Generate Excel spreadsheets for special projects as assigned.

9. Monitors and reports to Billing and QA Managers on matters related to coding compliance.

10. Monitors Aging report for Billers.

11. Responsible for Medicare, Commercial and VA Billing

12. Other duties as assigned.

Qualifications

Qualifications required:

1. High School Diploma/GED required.

2. 3-year minimum direct professional coding experience.

3. Strong knowledge of ICD-10, CPT/HCPCS coding guidelines.

4. Good judgment and decision-making skills

5. Strong ethics and a high level of personal and professional integrity

6. Computer literate and highly proficient in using MS Office

8. Strong oral and written skills

9. The ability to work overtime on as needed basis

McIntosh Trail CSB is an Equal Opportunity Employer and does not discriminate against persons on the basis of race, religion, color, ancestry, age, disability, genetic information, gender, gender identity, gender expression, marital status, medical condition, national origin, sex, sexual orientation, covered veteran status, or any other protected status.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Griffin, GA 30223: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical billing: 1 year (Required)
• Professional Coding: 3 years (Required)

Work Location: One location

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