Revenue Cycle Medical Billing Commercial Claims Processing - Team Lead

Revenue Cycle Medical Billing Commercial Claims Processing Team Lead

Location: Remote or On-Site

Hourly Pay: $21

This position is bonus eligible

Work Schedule: Training M-F 8am-4pm Central,

Flex Hours (after training) M-F 7am-4pm Central

JOB SUMMARY

Revenue Cycle Medial Billing Commercial Claims Processing Team Lead works closely with the supervisor and manager to provide leadership and oversight to the team's employees. Helps to ensure an overall high level of quality, efficiency, and productivity, while affirming all departmental goals are satisfactorily met. Responsible for reviewing denied and underpaid claims then determining the best course of action to support the claim to dispute with the payor. Responsibilities include a proper flow of workloads and streamlining processes, providing training and mentoring employees by giving purpose, motivation, and direction to accomplish the department's mission.

ESSENTIAL FUNCTIONS/DUTIES

• Oversee claim follow-up process to ensure claims are followed up on in a timely manner.
• Maintain a working knowledge of department processes, regulations, and trends within the commercial insurance payor spectrum.
• Assure processes and resources are allocated correctly to provide required coverage within given workflows assigned to the team.
• Identify and track payor behaviors and recommend corrective actions to mitigate improper denials.
• Assist with daily work distribution and monitor daily employee productivity.
• Demonstrate ability to train and motivate employees with a professional attitude.

QUALIFICATIONS

Required Experience:

• Must be fluent in English
• Minimum of one (1) year of medical billing experience
• Full-time experience in a position with direct responsibility for delivery of patient accounting services, healthcare billing, and follow-up services
• Must possess empathic and professional written and verbal communication skills
• Knowledge and experience of computers and related technology, at an intermediate level

• Experience with large volumes of data utilizing Excel
• Strong problem-solving skills, attention to detail, and ability to make timely decisions
• Ability to work independently with little or no direction and as an active member of the leadership team

Preferred Experience:

• Minimum of one (1) year working in a call center environment
• Above average knowledge of commercial insurance billing guidelines and policies
• Understanding and interpretation of Explanation of Benefits (EOB) from payors

Preferred Education:

• High school diploma
• GED
• Or significant, relevant work experience

Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com.

GMR's Core Behaviors-keep care at the center, raise your hand, seek to understand, find a way together and be accountable-unite our teams and set us apart in emergency medical services.

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

Check out our careers site benefits page to learn more about our benefit options.