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. 
 

Responsibilities

• 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. 

Qualifications

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