Responsibilities

• Monitors the performance and compliance of reporting personnel and provides feedback via performance evaluations and disciplinary action when necessary.

• Provides updates to the team regarding changes in contracts/internal processes.

• Conducts staff meetings and updates personnel on company updates.

• Ensure achievement of productivity standards and adherence to regulations and standards of performance and accreditation.

• Acts as a resource to all personnel to resolve problems and answer questions regarding billing operations.

• Report to leadership of dashboard status , analytics, and billing trends

• Ensur e the timeliness and accuracy of billing

• Meet quality assurance, benchmark standards, and maintain productivity levels as defined by management.

• Performs other duties as assigned

Qualifications

• Background investigation (company-wide)

• Drug screen (when applicable for the position)

• Valid driver's license in state of residence with a clean driving record (when applicable for the position)

• High school graduate or equivalent. Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary.

• High school diploma or GED equivalent

• One to three years of related prior work experience in a team-oriented environment

• Experience in medical field and administrative record management

• Strong customer service background

Skills & Abilities

• Must have experience processing pharmacy claims

• Ability to communicate with patients, payors, outside agencies, and public through telephone, electronic and written correspondence.

• Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner .

• Helpful, knowledgeable, and polite while maintaining a positive attitude

• Interpret a variety of instructions in a variety of communication mediums

• Knowledge of Home Infusion

• Knowledge of insurance policies and requirements

• Knowledge of medical billing practices and of billing reimbursement

• Maintain confidentiality and practice discretion and caution when handling sensitive information.

• Multi-task along with attention to detail

• Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division

• Self-motivation, organized, time-management and deductive problem-solving skills

• Work independently and as part of a team

• Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.

• Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial

• Basic knowledge of Microsoft Office

• Knowledge of HCN 360, CPR+ and Care T end preferable

• Medicare knowledge of billing requirements specific to DMEMAC