[Hiring] Billing Lead @Tenet Healthcare Corporation

Role Description

This is a remote position. Assists with the coordination and supervision of daily activities of a group of Billing Specialists as well as support billing and collections functions of the medical practice.

• Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
• Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
• Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures that affect specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
• Provides direction and guidance to less experienced team members.
• Recognizes and recommends areas needing improvement.
• Assists in scheduling and coordinating team activities.
• Handles escalated and unresolved issues from less experienced representatives.
• Enters charges in a timely manner.
• Files claims and runs/works audit trails daily.
• Processes ERAs, payments, and adjustments.
• Balances daily activity and prepares/sends Batch Cover Sheet to Director and accounting.
• Ensures that front office staff properly collects copays and balances due at time of service by auditing patient financial data up to 2 days before visit.
• Reviews/works delinquent insurance and patient balances.
• Works credit balances.
• Runs reports as requested by management or accounting.
• Other responsibilities as assigned.

Qualifications

• Education: High school diploma/GED required with completion of billing or coding program preferred.
• Certification: None specified.
• Experience: Must have a minimum of 5 years of experience working in medical billing.
• Other Requirements: None.

Requirements

• Knowledge of Accounts Receivable collection process.
• Knowledge of the Red Flag rules.
• Knowledge of Electronic Health Systems.
• Knowledge of ICD-9 and CPT codes.

Benefits

• Medical, dental, vision, and life insurance.
• 401(k) retirement savings plan with employer match.
• Generous paid time off.
• Career development and continuing education opportunities.
• Health savings accounts, healthcare & dependent flexible spending accounts.
• Employee Assistance program, Employee discount program.
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.

Company Description

DMC Medical Group is a network of primary and specialty care providers in greater Detroit and southeastern Michigan. We are proud partners with the Detroit Medical Center, an organization that has provided medical excellence for over 150 years for the Metropolitan Detroit area. Our healthcare providers are committed to providing advanced, comprehensive care to our patients. From primary care and sports medicine to cardiology and neurology, we have a passion for providing our patients with some of the best care possible.