Job Description
Position Summary:
Responsible for activities and operations of the Behavioral Health (BH) Billing Department. Ensure timely and accurate processing of services in the E.H.R. billing system(s) via provider portals & clearinghouse(s), maintains accurate records, staff daily operations & supervision.
Position Description:
- Oversees the BH EHR Claims transactions (claims approval, batching, submissions, payer & clearinghouse rejections, E.H.R. Claims maintenance and claims denial, etc.).
- Ensure compliance with relevant laws, regulations and internal policies.
- Communicate with management and resolve issues with billing staff, claim follow up and other issues.
- Assist with implementing & documenting processes to increase direct reports efficiency & knowledge within their area to maintain claims & claims management integrity.
- Assist with hiring & training of new hires; onboarding, explaining their role, introducing them to different team members, and getting them settled into the workplace.
- Provide supervision of BH Billing staff; manage workflow to ensure productivity and quality work, train, coach, develop, guide, motivate and problem solve direct reports to meet goals and objectives.
- Sets goals and objectives for direct reports.
- Provide performance evaluation input.
- Maintain or track staff schedules and performance records.
- Prepare weekly, monthly and on demand reports for direct reports.
- Provide reporting to keep management informed of accounts receivable progress, status and issues or changes.
- Work as a liaison between direct reports, other staff, vendors and management, as needed.
- Other duties as assigned
Required Knowledge, Skills and Abilities:
- Ability to understand and assure compliance with BH billing department claims management.
- Ability to pull, manipulate & document data.
- Proven knowledge of basic accounting principles claims management in E.H.R. systems, payer and clearinghouse portals, practices, and standards laws and regulations.
- Ability to communicate, express empathy, effectively deal with conflict and appropriate resolution, display leadership skills, and time management all the while working on tight deadlines.
- Maintain positive and effective relationships
- Demonstrate intermediate to advanced technical knowledge of complex formats and formulas, graphics, tables, pivot table computations, formatting and other Word Processing and Spreadsheets
- Effectively lead, coach and mentor direct reports to engage, succeed and excel in their tasks and customer service initiatives
- High attention to detail and accuracy
- Gather, collate and classify information according to established methods
Job Requirements:
- 6 months of Team Lead experience, or equivalent experience
- A valid driver’s license and current auto insurance is required
- 3 years’ experience in billing
Essential Functions/Physical Demands:
- Positional: Driving in accordance with job duties assigned. Infrequent standing and walking. Frequent to constant sitting.
- Gross Mobility: Rare climbing, or crawling. Infrequent balancing, stooping, kneeling, or crouching. Frequent to constant reaching and handling.
- Sensory: Rare tasting/smelling. Infrequent use of color vision. Occasional use of far visual acuity, depth perception, and field of vision. Frequent use of near and midrange visual acuity, and visual accommodation. Frequent to constant talking.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or on the basis of disability.
