General Summary/Overview

Under the direction of the Manager, serves a s working team lead for 6-8 billers engaged in account follow-up to ensure timely and effective processing and collection of payments.

Assigns work to team members. Trains team members. Recommends and helps formulate policies and procedures to improve follow-up operations.

Principal Duties and Responsibilities

  • Manages workflow for follow-up department/billers.
  • Assigns work to AR staff.
  • Follows up on own accounts/payer being worked.
  • Provides direct oversight that all denied or rejected claims are followed through and worked in a timely manner.
  • Spot check work to be sure of accuracy, efficiency and uniformity.
  • Respond to staff’s questions in a timely manner ensuring they fully understand how to perform their jobs.
  • Mentors and coaches the team.
  • Trains new staff and existing staff on techniques.
  • Proactively identifies trends and initiates recommendations for change to Manager.
  • Provides tracking and workflow management.
  • Exercises judgment to make decisions for select methods and techniques for obtaining solutions.
  • Promote teamwork, remaining available to assist staff as needed.

Qualifications

Five years billing experience in an outpatient health care organization required. Knowledge of billing practices and billing office policies and procedures. Knowledge of CPT and I10 coding. Knowledge of third-party payor reimbursement practices. 2 years of medical billing AR supervisory experience a must. Availability to work 40 hours a week. Epic billing software experience is preferred but not required.

Skills and Abilities Required:

Ability to examine documents for accuracy and completeness. Ability to work to precise and established standards of accuracy to enter data at high rate of speed. Ability to work effectively with patients, physicians and co-workers. Ability to communicate clearly and confidentially. Strong leadership and organizational skills required. Report to manager any non-compliance with staff as observed by you. Provide written documentation of infraction as requested by manager.

Working Conditions:

Normal office environment. Requires extended periods of sitting and typing.

Supervisory Responsibility:

This position will serve as the supervisor of the billing department in the absence of the manager.

Location:

CRMA Billing office located in Ashland, MA

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of staff so classified.