Team Leader, Physician Billing

MedStar Health
Annapolis, MD
Mar 20, 2017
Mar 21, 2017
Full Time
Team Leader, Physician Billing (Waldorf) Using data analysis, spreadsheet, and presentation skills, researches, analyzes, documents, and reports financial, practice and regulatory data in revenue analysis and insurance payment trend projects, as well as identifying and communicating opportunities to maximize and increase revenue retrieval for a portion of approximately one billion dollars of annual accounts receivable. Under general Supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on highly complicated invoices with an invoice balance ? $5000 excluding those invoices in the Direct Contract assignment category. Leads and coordinates the activities of an assigned payer team responsible for billing, collection, cash posting and follow-up functions. Supports day to day functioning of department, by providing in depth understanding of the physician practice revenue cycle, of today's intricate and complex health care market and of all regulatory and compliance issues involved, as well as excellent technical knowledge of and proficiency with the computer system in use and MPBS's operational processes. Qualifications EDUCATION: High School Diploma or GED. Bachelors or Associate degree preferred. Consideration will be given to an appropriate combination of education/training and experience. EXPERIENCE: 6 years of progressively responsible experience in hospital/physician patient accounts or equivalent experience. Experience and proficiency using an automated billing system, GE IDX and ETM experience preferred. LICENSE/CERT/REG: No special certification, registration or licensure is required. SKILLS: Effective negotiating skills, to include ability to resolve complex billing and collection situations with individual patients or third party payers. Proactive problem solving skills. Ability to interpret data and related information, and discern trends and tendencies, as well as determine appropriate course of action. Ability to work as part of team, set goals, prioritizes work and coordinates execution of work. Ability to lead, monitors daily activities, evaluate, train and motivate performance of team members. Effective oral and written communication skills. Knowledge of IDX and ETM, basic operation of hardware and work processing and spreadsheet packages, Microsoft preferred. Knowledge of relevant billing and collection laws and regulations, hospital protocols. Knowledge of third party claims and diagnostic coding, to include ICD 9/10 and CPT coding, CPC certification helpful. Proficiency with Microsoft office application -- particularly Excel. Report production and presentation skills. Excellent interpersonal skills. Highly developed customer service skills. 13

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