Description We are seeking a Medical Billing Lead to join our team in Cleveland, Ohio. The role involves managing a team of medical billers, maintaining patient relationships, and ensuring the effective completion of a medical billing project. The employment opportunity is a short-term contract role.Responsibilities:
Under direction, ensure that the activities of this position and relevant programs are consistent with the mission, vision, and values of the company.
Support all third party insurance billing, reconciliation and follow up processes for all sites using Avatar (EMR) software.
Maintain insurance panels needed to increase insurance revenue throughout sites.
Work within the Avatar and other billing software as it relates to insurance guarantors and any health management organizations that maximizes efficiencies and revenues
Maintain and processes between all billable revenue streams.
Communicate with clinical staff in support of a pre-authorization process using existing Avatar system throughout all behavioral health service sites.
Support administrative decisions, in conjunction with leadership, in relation to insurance process
Maintain oversight for fiscal management, performance improvement activities and compliance for all related insurance related billing processes being conducted by Temporary Billing Specialists
Train, supervise, evaluate and encourage Temporary staff who provide support.
Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.
Generate standard reports and review each for accuracy and consistency with the Avatar system.
Stay up to date with changes regarding regulations, best practices and available technologies in the insurance billing field.
Perform other duties as necessary to accomplish objectives.
Requirements
Combination of education and experience normally represented by an Associate’s Degree in Accounting, Finance or Business with 2-4 years of insurance billing experience.
Familiar with the regulations and requirements for HIPAA and aware of the compliance requirements as enacted. Maintain and protect confidential information.
Experience working in a healthcare environment and with managed care entities.
Strong analytical skills and basic knowledge of third party insurance billing.
Must have competent oral, written and interpersonal communication skills.
Must be well organized, detail oriented, have the ability to work independently and work as part of a team.
Must have the ability to maintain confidentiality.
Ability to effectively and productively work with people of very diverse economic, cultural and administrative backgrounds.
Must have the ability to effectively prioritize and implement a variety of concurrent and varying activities.
Advanced knowledge of computers, especially Avatar related experience and electronic medical record experience. Advanced skill set in Excel, Access or other database spreadsheet.
Final applicant is required to be fingerprinted to complete background check.
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
