Billing / Data Maintenance Team Lead

Billing/Data Maintenance Team Lead

Support the daily activity of the Billing and Data Maintenance departments for all Hospital-Based Outpatient databases.  The Billing/Data Maintenance Lead assures timely and accurate claim submission is being completed to appropriate parties to ensure the lowest possible days in accounts receivable, in a cost-effective manner.  They will coordinate the daily routines of the Billing and Data Maintenance reps to ensure that all policies, procedures, and expectations are followed and maintained on a routine and consistent basis.  They will identify and assist in the resolution of issues, while openly communicating with management to ensure all recommendations of potential solutions are explored and captured.

• Productivity and volume reporting on a regular basis.
• Maintain quarterly goals of cash received in the 0-30 and 0-60 day buckets
• Work with carriers and clearinghouses to increase the number of claims sent electronically
• Maintain current, accurate follow-up on all accounts zero to 60 days. The goal is to have all claims paid within 60 days.
• Identify common denial reasons and prepare/implement solutions to reduce.

• Monitor cash receipts during the month to direct billing to maintain department cash collection goals.
• Provide training for new staff and others as requested
• Keep the departmental training manual up to date.
• Oversees and assists with all data maintenance functions, including, but not limited to: maintaining database files within the system(s), updating insurances/referring MDs/therapists/CPTs/ICD9s, ensuring proper billing & printing requirements are set up at the payor level, and completing database assignments deemed necessary by the management team.
• Recognize and/or act upon billing issues inferred from reported data, management, or daily operations; and provide feedback to the appropriate company levels on resolution(s).
• Coordinate month-end processing - requires a start time of 5:30 am for the Second business day of each month.
• Assisting and supporting other departments and appropriate staff members as needed to successfully resolve patients' account inquiries.
• Will encourage development of constructive work habits and attitudes within the department, including the importance of good relations with the offsite clinics, public, and insurance carriers
• Performing other duties and projects as assigned.
• Following all HIPAA requirements as defined by the Compliance Department.
• Supports the missing and direction of Select Medical both within the central business office and throughout the company.

• Good interpersonal, oral and written communication skills.
• Excellent problem solving skills.
• Ability to work independently.
• Proficiency in Windows based office technologies.
• High school diploma or GED required
• Associates/Bachelor Degree preferred
• Three to four years of relevant experience required
• Some supervisory/leadership experience preferred
• Minimum one year of computer experience preferred.

Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.

• An extensive and thorough paid orientation program.
• Paid Time Off (PTO) and Extended Illness Days (EID).
• Health, Dental, and Vision Insurance; Life insurance; Prescription coverage.
• A 401(k) retirement plan with company match.
• No Required Weekends

Equal Opportunity Employer/including Disabled/Veterans