Medical Billing Team Lead

TEAM LEAD - A/R MANAGED CARE

Schedule:

Full time, Mon-Thurs 8a-5p, Fri 8a-4p. Hybrid - 3 days onsite.

Annual salary:

$90-$100K.

OVERVIEW

Our client is an end-to-end anesthesia revenue cycle and practice management company with a track record and reputation for superior financial results. They provide exceptional service to 1,100 providers performing over 400,000 cases in over 60 hospital, ambulatory surgery and office facilities in the New York Metropolitan Region, including for their largest client, Northwell Health Anesthesia. They promote a production-oriented, collaborative and communal work environment and take pride in our focus on people and process design. Their company is undergoing a rapid growth phase and is ramping up hiring across all revenue cycle functional areas. Due to continuous expansion, they offer opportunities for professional growth to their employees. They make significant investments in the training and development of our employees, and we invite you to become a part of their high-performing team.

POSITION SUMMARY

TEAM

LEAD - A/R MANAGED CARE

We are currently seeking an experienced Team Lead - Managed Care to join the Managed Care Team in the Chappaqua, NY office. The Team Lead's primary responsibility is to perform managerial oversight of a book of assigned payors. Individual will lead a team of billing support team members to ensure superior reimbursement performance, working side by side with their support team in pursuit of outstanding accounts and overseeing the identification, escalation and resolution of issues.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Troubleshoots escalated claims and payor issues by communicating with Northwell Managed Care leadership and Network Management
• Creates and submits accurate spreadsheets of outstanding accounts receivable to assigned payors and pursues balances owed
• Generates, reviews and delegates reports from company's billing software
• Assists in team member training, goal setting and performance assessment
• Conducts regular meetings in support of billing team members and provides suggestions for improvement. Serves as a resource of knowledge and guidance
• Prioritizes, leads and follows through on goals, projects and assigned initiatives
• Communicates effectively with all stakeholders - internal staff, and external representatives and management of payors and clients.
• Meets productivity standards
• Performs routine audits
• Solves difficult claims issues
• Exhibits subject matter expertise
• Leads the identification and tracking of trends, reports major issues and potential threats/opportunities to leadership
• Establishes a positive culture. Emphasizes shared responsibility for managing outcomes by setting goals and establishing an approach of continuous improvement.
• Conforms to all HIPAA laws and patient confidentiality requirements
• Protects and safeguards company and patient information
• Understands and complies with all policies and procedures in the Company Handbook
• Carries out duties in compliance with all established policies and procedures including government, managed care and billing regulations and guidelines.
• Completes other job-related tasks as assigned
• Maintains a high standard of professional conduct at all times

QUALIFICATIONS

• A minimum of 5 years of medical billing experience and well-rounded knowledge of the revenue cycle process, including familiarity with CPT and ICD10 codes, anesthesia preferred
• Ability to accurately calculate expected payment amounts, based on multiple Managed Care Payor contracts and numerous rate structures
• Appropriate computer hardware including secure Wi-Fi and double monitors to be able to work from home on hybrid basis
• Prior accounts receivable experience working in fast paced, high volume medical billing environment

CORE COMPETENCIES

• Problem solving skills and ability to deal effectively and efficiently with a high volume of denied or incorrectly paid claims
• Ability to multitask and stay focused throughout the day to complete duties properly and meet company expectations
• Maintain good work habits, including reporting to work on time and adhering to standard work, safety procedures and employee handbook.
• Strong computer skills including MS Excel and proficiency working with large spreadsheets
• Strong communication skills, both verbal and written
• Accuracy and attention to detail, the ability to prioritize and organize work to meet strict deadlines
• Must be motivated with a positive attitude and exceptional work ethic

BENEFITS

• 401(k)
• Health insurance
• Life insurance
• Dental insurance
• Vision insurance
• Disability insurance
• Flexible spending account
• Paid time off

Pay:

$90,000.00 - $100,000.00 per year

Benefits:

401(k) Dental insurance Flexible spending account Health insurance Life insurance Paid time off Vision insurance

Work Location:

Hybrid remote in Chappaqua, NY 10514