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Lead Medical Billing Specialist

Employer
Manpower of Northern Minnesota
Location
Sartell, Minnesota
Salary
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Employer Type
Staffing agency
Industry
Healthcare
Role
Administrative
Hours
Full Time

Job Details

Job Description

Lead Medical Billing Specialist

SUMMARY

We have an opening for a Lead Medical Billing Specialist in our Extended Business Office Service Line (EBO). Working under general supervision, provides revenue cycle services to existing clients. This position will be responsible for assisting the supervisor in team development, auditing and supporting the overall team goals. Responsible for gathering patient information needed to provide services such as following up on complex claim issues, pre-registration, customer service, pre-authorization, and self-pay balance resolution if applicable. Work will be assigned via a work queue in the clients electronic health record system as well as our inventory management system.

RESPONSIBILITIES

* Reduce outstanding accounts receivable by managing claims inventory

* Speak to patients and insurance companies in a professional regarding their outstanding balances

* Gathers information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services

* Requests, inputs, verifies, and modifies patient's demographic, primary care provider, and payor information

* Utilizes tools, including computer programs, when indicated

* Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.

* Answers questions by phone and provides quotes for services identifies financial resources, etc. in accordance with the client policies and procedures

* Utilizes various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.

* Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software

* Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies

* Works with Claims and Collections in order to assist patients and their families with billing and payment activities in order to increase cash flow

* Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria

* Excellent verbal and written communication and interpersonal skills

* Ability to work independently with minimal supervision, within a team setting and be supportive of team members

* Ability to analyze issues and make judgments about appropriate steps toward solutions

* Assist supervisor in training and development of other team members

* Other duties as assigned

QUALIFICATIONS

Minimum Qualifications:

* Two years of experience in customer service involving complex analytical problem-solving skills

* One year experience in a call center with emphasis in a customer service/medical industry

* An approved equivalent combination of education and experience

* Knowledge of medical terminology and medical scheduling is preferred

Preferred Qualifications:

* CRCR (Credentialed Revenue Cycle Representative) preferred

Company

Manpower connects people to the right job. We have opportunities at various levels, across all industries and at no cost to the job seeker. As a world leader in employment services for more than 60 years, we know what it's like to change your career path.

That's why - whether you're just entering the workforce or have decided on a career change - our goal is to make the experience better and easier for you. We start by listening closely to understand your skills, interests, and goals. Then we work to give you choices that suit your work style and fit your lifestyle.

Plus, as an associate, we'll arm you with everything you need to get a great job and succeed in your role, including helpful career advice, insights to the changing world of work and access to thousands opportunities. Whether you're interested in short-term projects, want to try out a position before going permanent or need better work/life balance, Manpower has the experience, the resources and the options for you. Check us out. We have a full range of employment solutions including contract-to-Hire, Direct Hire, employee training and business consultation. See how much you have to choose from.

Manpower of Northern Minnesota contains 3 field offices which are managed by Katie Jo Swaggert. The recruiting team has over 30 years of experience in this market and are passionate about the areas they live and work.

Manpower – Alexandria

507 N Nokomis Suite EAlexandria, MN 56308

320.763.9899

Manpower – Duluth

11 E Superior St #110, Duluth, MN 55802

(218) 727-8891

Manpower – St.Cloud

125 33rd Ave S, St Cloud, MN 56301

(320) 251-1924

Company info
Website
Location
Minnesota
US

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