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Lead Billing & Credits

Job ID 84503 Full / Part Time: Full-Time
Location: Springfield, Massachusetts
Regular/Temporary: Regular

Full time opportunity for a lead in Specialty Billing!

Summary: The Lead will assist with the day to day operations of the Specialty Billing Unit and assist the staff with questions and issues.  The Lead will coordinate the reimbursement activities of the staff and be responsible for their training and development.  The Lead will work together with other areas such as Compliance, Coding, Production and Claim Support, to resolve issues and ensure billing requirements are met.  The Lead will develop and perform quality control functions and provide necessary feedback to the staff.  The Lead will help develop and update unit procedures and monitor their use.  The Lead will attend and actively participate in inter/intra-departmental meetings.  The Lead will also maintain a reimbursement workload. Other related duties as required.

What You Will Do: 

Coordinates the day to day activities of the receivable staff to ensure appropriate levels of productivity and quality.

Maintains current knowledge of billing requirements for all major payers.

Pursues reimbursement and assists staff in pursuing reimbursement from third party carriers.     

Identify training needs and develops training plans.  Performs staff training and assists with the staff's development.

Monitors productivity and workload distribution and provides feedback appropriately

Identifies and corrects current and potential reimbursement issues along with  coordinating special projects.

Routinely meets with the Receivables Manager to discuss billing issues, unit issues, status of projects, and unit goals.

Accurately records productivity, quality, and other information required for established reports.

Develops department goals along with management and assists staff in meeting or exceeding those goals.     

Develops and performs quality control functions and provides necessary feedback to staff and management

Performs other duties as assigned, including assisting other units and departments.

What You Will Need: 

Minimally Required Education:   High School / GED 

Minimally Required Experience: Previous third party physician billing experience and knowledge of HCFA-1500 requirments.Experience with GE Centricity Business Software a plus.  Experience with large multi-specialty billing organization and previous Lead responsibilities also a plus.

Skills / Competencies: Ability to use database management, spreadsheet and word processing software programs.  Effective communication skills required. Courtesy and effectiveness when interacting with others.  Ability to work as a Tean Lead as well as a team player in a fast paced business environment.

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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