Billing Lead

Assists with the coordination and supervision of daily activities of a group of Billing Specialist as well as support billing and collections functions of the medical practice.

• Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures  of Tenet Physician Resources.
• Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality  Agreement.
• Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of  compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
• Provides direction and guidance to less experienced team members.
• Recognizes and recommends areas needing improvement.
• Assist in scheduling and coordinating team activities.
• Handles escalated and unresolved issues from less experienced representatives.  Enter charges in a timely manner File claims and run/work audit trails daily
• Process ERAs, payments, and adjustments  Balance daily activity- Prepare and send Batch Cover Sheet to Director and accounting
• Ensure that front office staff properly collects copays and balances due at time of service by  auditing patient financial data up to 2 days before visit
• Review/work delinquent insurance and patient balances  Work credit balances  Run reports as requested by management or accounting.  Other responsibilities as assigned.

Education: High school diploma/GED required with completion billing or coding program preferred. Certification:Experience: Must have a minimum of 5 years of experience working in medical billing Other Requirements: None Performance Requirements:Knowledge:

1. Knowledge of Accounts Receivable collection process 
2. Knowledge of the Red Flag rules 
3. Knowledge of Electronic Health Systems 
4. Knowledge of ICD-9 and CPT codes