Medical Billing Lead

Overview

Shifts Available:Days

Employment Type:Full Time 

Hours:8hrshifts–7:45am to 4:15pm

Location:Dallas Medical Physician Group–Mesquite, TX

We are seeking aMedical Billing Lead,sometimesreferred to asPhysicianOfficeBilling LeadorLead Medical Billing & Coding Specialist.The Medical Billing Lead oversees billing, coding, claims follow-up, and reimbursement activities to supportaccurateandtimelyrevenue cycle operations.TheMedical Billing Lead reviews documentation and coding, resolves claim issues, educates providers and staff on payer requirements, andassistswith credentialing and process improvement. The Medical Billing Lead also supports and trains billing staff whilemonitoringdaily operations, accounts receivable, and compliance with regulatory and payer guidelines.

Responsibilities

• Review coding, documentation, and claims in Epic to ensureaccurateand compliant billing before submission

• Submit and follow up on insurance, workers’ compensation, HMO/PPO, and other third-party claims through final resolution

• Train and support billing staff, clinicians, and providers on coding guidelines, payer policies, and billing processes

• Monitor charge entry, claim submission, payment posting, denials, rejections, and monthly accounts receivable reporting

• Assistwith provider and facility credentialing, process development, compliance initiatives, and resolution of patient billing concerns

Qualifications

1.     Knowledge of multiple insurance billing requirements and 3-5 years of billing experience

2.     Knowledge of HIPAA confidentiality requirements, maintains strictest confidentiality.

3.     Knowledge of Epic, Excel, Word, and clearinghouse software.

4.     Knowledge of CPT, HCPCS, ICD-10 coding protocols, Medicaid, third party and Medicare billing and coding.

5.     Knowledge of regulatory standards appropriate for position.

6.     Ability to understand and apply applicable rules, regulations, policies and procedures.

7.     Ability to communicate effectively.

8.     Ability to establish and maintain effective working relationships with clinicians and patients.   

9.     Ability to multi-task, prioritize needs to meet required timelines 

10.   Analytical and problem-solving skills. 

11.   Customer Services experience required 

12.   High School Graduate or GED equivalent Required

Here are some of the benefits of working at Prime Healthcare:

• Health, dental, and vision insurance options

• Paid vacation, sicktimeand holidays

• Bereavement leave, FMLA and other leave options

• Employer 401K options

• Tuition reimbursement options 

• Life, disability, and other insurance options

• Many other amazing benefits

Full benefits at Prime Healthcare:https://www.primehealthcare.com/careers/benefits/

Employment Status

Full Time
Shift

Days
Equal Employment Opportunity