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Medical Billing Supervisor/Lead Job in Phoenix, Arizona

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Job Title: Medical Billing Supervisor/Lead

Employer:Desert Ridge Family Physicians
Skills:Billing,Coding,Claims Processing,Reporting,Credentialing,Auditing,Compliance
Specialties:Family Practice, Primary Care, Internal Medicine
Preferred Certifications:CPC
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location:20940 N Tatum Blvd, Suite 300 Phoenix 85050, AZ, US
Date Posted:3/9/2021

The Billing Supervisor/Lead is responsible for the successful management, administration and supervision of all functions related to insurance billing and collections performed in the billing department. The Billing Lead will create and review monthly reports, analyze outcomes, identify trends, and ensure timely and proactive communication to the executive team. The billing lead originates, implements, and leads billing office objectives that will provide an employee-oriented, high performance culture that emphasizes empowerment, quality, productivity and standards, goal attainment, and the recruitment and ongoing development of a superior work team.

Development and leadership responsibilities of the Billing Lead

·         Manage all billing functions ensuring all claims are billed accurately, timely and in compliance with regulatory and company requirements.

·         Ensures accurate reimbursement is being received for services rendered.

·         Manage the daily activities of the billing department including front end coding, billing, claim review, denial management and payments.

·         Current knowledge of CMS guidelines, contracted insurance guidelines and coding policies

·         Oversees and manages the work of billing staff and encourages the ongoing development of the staff within the department.

·         Leads and participates in departmental meetings.

·         Works to define daily revenue expectations, discuss opportunities and resolve challenges.

·         Support and assist with interpreting data to identify process improvements that support revenue cycle services.

·         Remains current on specific data requirements as dictated by government and private insurance carriers and ensures the systems are appropriately updated.

·         Ability to handle and ensure accurate, timely insurance credentialing.

·         Build strong rapport with Insurance reps.

·         Be hands-on in supporting the team with daily tasks, and all billing department processes.

·         Defines billing office training standards by supplying, identifying, and developing the resources required to achieve the goals and expectations of billing operations. Leads by creating goals and metrics to include but not limited to days in A/R, Collection ratio, accepted time frame of charge entry and payment posting.

·         Ensures annual audits of providers and staff as needed to ensure accurate and timely coding and billing activities.


Desired experience/skills

·         5+ years previous experience in medical billing and collections (Family Practice preferred)

·         2+ years previous supervisory experience preferred

·         AAPC certification a plus.

·         Knowledge or experience with insurance payer contracting and negotiations preferred

·         Strong knowledge of insurance reimbursement process

·         Understanding of medical ICD-10 codes, CPT codes and modifiers

·         Understands insurance EOB’s

·         Understands and has experience in insurance credentialing for on boarding of new providers

·         Strong verbal and written communication skills, detail-oriented, organized and accurate work flows

·         Can effectively prioritize and manage multiple daily/weekly/monthly goals and tasks

·         Can work well independently and as part of the team, leads by example

·         Proficiency with Electronic Medical Records; Knowledge of NextGen EHR is preferred


Email:  April Esch
No Phone Calls Please!

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