Resilience Lab · 1 day ago

Billing Operations Lead

New York, United States

Full-time

Remote

Mid Level

$55K/yr - $55K/yr

4+ years exp

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Health CareMental Health

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Responsibilities

Review billing activity history and transaction records to answer client billing questions;

Work cross-functionally with clinicians when coding, billing, insurance verification, and general insurance questions arise;

Educate clinician new hires around insurance, workflows, system features and common billing/coding questions;

Ensure timeliness of claim submissions;

Review claims to ensure payer requirements are satisfied;

Pull reports and analyze claims data to identify trends;

Support the Director of Revenue Cycle Management by resolving escalated disputes;

Lead improvement measures to address trending billing issues;

Collaborate with other team members and third party RCM partners to resolve outstanding issues;

Manage reconciliation projects, including reconciliation of payments between billing systems and payers;

Complete other assignments as requested and assigned;

Uphold HIPAA compliance guidelines.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Revenue Cycle ManagementMedical BillingMedical CodingInsurance VerificationClaims Follow-UpBehavioral Health BillingData Analysis