Lead Coordinator, Patient Invoicing Team - Revenue Cycle Management

Responsibilities

• Provides ongoing support to the team to ensure that day-to-day service and production goals are met.
• Aids management in monitoring associates’ goals and objectives daily; motivates and encourages associates to maximize performance.
• Provides ongoing feedback, recommendations, and training as appropriate.
• Aids supervisors in ensuring staff adherence to company policy and procedures.
• Aids supervisors in related personnel documentation as required, necessary, or appropriate.
• Learns and leads in claims processing.
• Investigates insurance claims; properly resolves by follow-up & disposition.
• Manages invoicing projects, addressing complex issues and ensuring timely resolution to maintain optimal account receivables performance and client satisfaction.
• Solves complex invoicing complaints, including member call back and agent co.
• Verifies patient eligibility with secondary insurance company when necessary.
• Bills supplemental insurances including all Medicaid states on paper and online.
• Manages invoicing queue as assigned in the appropriate system.
• Investigates and updates the system with all information received from members.
• Ensures that all information given by representatives is accurate by cross-referencing with the patient's account, followed by using honest judgment in any changes that may need to be made.
• Updates patient files for insurance information, Medicare status, and other changes as necessary or required as related to billing when necessary.
• Maintains accurate and detailed notes in the company system.
• Leads the outsourced team, providing guidance, answering questions, and ensuring that the team delivers high-quality customer service related to patient invoicing.
• Serves as the primary contact for outsourced team members, resolving any issues or concerns that arise in the invoicing process.
• Ensures that outsourced team members are trained in company policies, procedures, and systems related to invoicing and customer service.
• Makes sure the outsourced team is performing well, providing feedback and support to help them achieve their goals and improve their skills.
• Collaborates with the outsourced team to identify and implement process improvements that enhance efficiency and customer satisfaction.
• Adapts quickly to frequent process changes and improvements.
• Is reliable, engaged, and provides feedback as to improve processes and policies.
• Attends all department, team, and company meetings as required.
• Appropriately routes incoming calls when necessary.
• Mets company quality standards

Qualifications

• A high school diploma or equivalent.
• Three years’ experience with insurance billing and processing claims preferred.
• Three years’ experience with Medicare claims, and Medicare and private insurance verification preferred.
• Knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices.
• Full knowledge all areas of collections specialization preferred.
• Proficiency in basic math and business calculations.
• Working knowledge of computer/data entry with the ability to learn new systems.
• Basic level of MS Office proficiency.