Lead, Insurance Billing Specialist Job

Summary

The Lead Insurance Billing Specialist conducts initial and in-service training for department associates, prepares educational materials and documentation for billing, A/R System operation and daily workflow.  Collects more complex patient accounts from third party payers and patients to maximize cash receipts and minimize receivables while maintaining effective customer relations. Works under minimal supervision and may adapt procedures, processes, and techniques to meet the more complex requirements of the position. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Education/Experience/Licensure

 

Education/Formal Training

Work Experience

Credential/Licensure

 

REQUIRED:

High school graduate or equivalent.

Minimum of two years of experience as an Insurance Billing Specialist.

N/A

 

PREFERRED:

 

N/A

 

N/A

 

N/A

 

SUBSTITUTIONS ALLOWED:

 

N/A

 

N/A

 

N/A

Knowledge/Skills/Abilities

• Thorough knowledge of insurance billing processes and procedures.
• Intermediate motor abilities for the operation of calculator, typewriter, and computer terminal.  Accuracy is essential.
• Moderate mathematical proficiency required to include addition, subtraction, multiplication, and calculation of percentages.  Accuracy is essential.
• Strong verbal and written communication skills. 
• Ability to apply problem-solving techniques.
• High degree of assertiveness and determination required.
• Ability to read, comprehend and explain moderately complex written material.
• Ability to organize multiple tasks and workflow for self and others as relates to both training and preparing educational materials.
• Ability to maintain good working relationships with co-workers and others external to the department.
• Ability to work without close supervision and to exercise independent judgement.
• Ability to operate standard office equipment such as CRT's, PC's, copy and fax machines.

Key Job Responsibilities

• Develops, maintains and conducts a comprehensive training program for new departmental Associates in areas such as policies, procedures, workflow and computer system operation.  Organizes and conducts continuing in-service training classes in both classroom and on-the-job settings for current associates.
• Responsible for the management and collection of revenue from patients’ accounts.  Reviews and issues insurance and patient bills.   Prepares and coordinates the publishing of educational material, training aids and A/R system documentation for distribution within and external to the immediate department.  Evaluates the effectiveness of training and written documentation and modifies as appropriate.
• Review for accuracy and approve financial transactions for specified procedure numbers and dollars for posting to the accounts.
• Performs special projects for the department.

Physical Requirements

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.