A Hospital in Arcadia that is a leading healthcare system dedicated to providing exceptional patient care through cutting-edge technology, compassionate service is seeking to add highly skilled revenue cycle detail oriented. We are seeking a highly motivated and experienced Lead Medical Insurance Biller Collector to join our team and contribute to the efficient processing of medical claims for our large hospital system.
The Lead Medical Insurance Biller Collector will oversee and coordinate the medical billing process to ensure timely and accurate submission of claims, collections, and reimbursements. This role requires a deep understanding of insurance contracts, UB04 claim forms, and medical billing processes. With a hands-on approach, the Lead Medical Insurance Biller Collector will also serve as a subject-matter expert and guide a team of billing professionals to achieve revenue cycle goals.
Responsibilities:
• Supervise the daily operations of medical billing, including insurance verifications, claim submissions, and collections for hospital inpatient and outpatient services.
• Process and review UB04 claim forms for accuracy and compliance with payer requirements.
• Analyze insurance contracts to ensure proper application of reimbursement guidelines.
• Lead efforts in insurance collections, follow-ups, and resolving denied or underpaid claims.
• Serve as a mentor and resource for billing team members, providing training and guidance as needed.
• Monitor key performance indicators (KPIs) for billing efficiency and address process improvements.
• Collaborate with revenue cycle, coding, and finance departments to streamline workflows and escalate payment issues.
• Stay current on industry best practices, payer regulations, and coding updates to ensure compliance.
• Insurance experience in HMO, PPO and Government insurance
Medical Billing, Medical Collections, UB04, Hospital Revenue Cycle, In patient, Outpatient, Insurance follow up, EOB, Medical Appeals, Medical Denials
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