Generating, reviewing and transmitting claims for hospital-based services to third-party payors. Collaborating across Revenue Cycle departments to ensure billing edits and other up-front billing-related issues are resolved completely and efficiently, as well as acting as a leader to other team members. The Billing Team Lead reports to the Billing Manager.
Liaise appropriately with supervisor to communicate all obstacles, regulatory challenges and system deficiencies that the team faces.
Perform “special projects” per supervisor requests.
Maintain a clear understanding and working knowledge of all information systems required for job scope in order to best be equipped to consistently recognize and troubleshoot problems; assist other team members as necessary.
Adhere to Aveanna organizational policies and procedures for relevant location and job scope; ensure teams members are maintaining protocols as well.
Develop “super user” capabilities in Aveanna applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department.
Identify trends in common claim edits and communicate findings to management.
Review, monitor, and complete hospital claims for all elements of the UB-04 billing form according to Aveanna and specific payor guidelines.
Transmit hospital claims to third-party payors both electronically and manually when necessary.
Work closely with Revenue Cycle management to ensure all related charge errors and billing edits are corrected and reported.
Strive to obtain first-time claim accuracy.
Ensure team maintains a daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate; assist management with the coordination of daily Billing operations.
Strive for positive patient experience.
Complete and/or attend mandatory training and education sessions within approved organizational guidelines and timeframes.
Other miscellaneous duties as assigned.
High School Diploma or GED.
At least one (1) year of related healthcare Revenue Cycle experience, preferably with a focus in billing.
Clear understanding of the impact billing has on Revenue Cycle operations and financial performance.
Excellent written, verbal communication and interpersonal skills.
Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment.
Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.
A demonstrated ability to use PC based office productivity tools (e.g. Microsoft Outlook, Microsoft Excel) as necessary; general computer skills necessary to work effectively in an office environment.