Lead Billing Specialist

Responsible for the accurate and timely preparation, processing, reporting and monitoring of invoices and billing transactions supporting financial integrity and ensuring charges are correct, payments are applied appropriately and discrepancies are resolved promptly, in accordance with all company policies, core values, and local, state and federal laws governing the business. The Lead will provide additional operational support as a mentor, providing leadership, guidance, support, training, task oversight and other supervisory responsibilities for department and/or affiliated location employees as assigned.

• Must be at work on time/when expected, representing the company in a positive and professional manner, leading by example in dress, composure and behavior

• Prepares, reviews and disperses invoices, verifying accuracy and authorization(s) in accordance with their contractual terms and company processes and procedures

• Supports the finance and accounting department members by maintaining accurate records, identifying discrepancies, and ensuring data integrity

• Monitors billing queue(s) to ensure timely submission of invoices resolving any

  discrepancies, rejected invoices and responding to related inquiries as needed

• Posts payments, adjustments, and credits reconciling billing records to general ledger and any related subledger(s)

• Collaborates and coordinates with other departments and/or billing and/or payor sources to validate and reconcile billable services or charges

• Assists with month-end closing activities as assigned

• Generates and distributes billing and aging reports as directed

• Supports internal and external audits as requested – escalating complex claims/issues

• Safeguards company property and confidentiality at all times, maintaining internal controls and procedures to prevent fraud and errors in the billing processes

• Assists with hiring, onboarding, training and performance management of new Billing Specialists (or other department team members), first point of contact for questions

• Acts as “buddy” allowing new employees to job shadow making sure they feel welcomed and supported and understand all job expectations and requirements

• Provides real-time coaching, correction, feedback and guidance to staff members

• Acts as liaison for complex, rejected, difficult or escalated billing issues completing root cause analysis and ensuring accurate follow up documentation to all involved parties.

• Continually analyzes documentation and processes making recommendations to improve policies, and/or workflows to ensure continued improvements in operational efficiencies

• Researches and oversees corrections of any billing errors to ensure accurate submissions of claims to insurances companies and third-party payers

• Reviews work assignments for balance/fairness and that duties are completed timely

• De-escalates problems/conflicts/concerns, models and encourages respectful communication

• Knows when to, and appropriately escalates concerns to senior management

• Analyzes aging reports, identifying trends and developing solutions to reduce “days in accounts receivable”

• Collaborates with clinical staff, coders and other cross functional team members to ensure accurate recordkeeping and billing

• Leads departmental preparation for internal/external audits and month-end closing activities

• Maintains expert-level knowledge of payer guidelines, billing regulations, and

  compliance standards (e.g., HIPAA) ensuring team members are trained/updated as necessary

• Prepares and delivers various reports and metrics as related to the position,

  department and on the performance of all…