Job Openings >> Lead Billing Coordinator
Lead Billing Coordinator
Summary
Title:Lead Billing Coordinator
ID:1396
Location:Danvers
Shift:N/A
Job Type:Full-time
Description
Looking to join one of Massachusetts’ most innovative and committed organizations? Northeast Arc is a premier provider of services devoted to strengthening the abilities of all. We are a non-profit human services provider located in Danvers. Our Fiscal Intermediary department is looking for a Lead Billing Coordinator to assist in making recommendations for improving the quality of service/work process in the billing unit, as well as supervise and review the work of billing staff. 

Major Responsibilities:
  • Supervises, directs, and reviews the work of the billing staffs
  • Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
  •  Analyzes billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.
  • Keeps up to date with carrier rule changes and distribute the information within the practice.
  • Understands and remains updated with current coding and billing regulations and compliance requirements.
  • Submits claims to clearinghouse or insurance carriers electronically or via paper CMS-1500 form.
  • Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
  • Monitors and reconciles the accounts receivable in the subsystem after every payment posting and in the billing system
  • May periodically create aging reports to identify unpaid insurance claims.
  • Researching and appealing denied claims. Follows up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims.
  • Prepares adjustment and write-off report for all claims which were denied and/ or did not meet the contractors’ payment criteria.
  • Monitors and analyzes department work to develop more efficient procedures and use of resources while maintaining a high level of accuracy.
  • Maintains files according to records retention policy.
  •  Assist with updating all policies and procedures for the Billing Units.
  • Other duties as assigned

Qualifications: 
  • Associates degree with a major in Business Administration or related equivalent
  • 3+ years of medical billing experience and Collections experience in a medical practice or health
    system, with a deep understanding of medical billing rules and regulations.
  • Two (2) years supervisory or management experience preferred.
  • Knowledge of healthcare reimbursement and third party payer regulations and medical terminology
    required
  • Strong problem-solving skills and ability to make timely decisions
  • Proficient in Microsoft Office, including Outlook, Word, and Excel.
This opening is closed and is no longer accepting applications
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