Lead Biller

Job Title:         Lead Biller

Supervisor:     Operations Manager

Job Type:        Full-Time, Exempt

Salary:             $31,200 - $35,568

Location:         Atlantis Behavioral Health Services, 6028 Surety Drive, El Paso, TX 79905

General Description of Position: The lead biller oversees billing staff to guide and support them with any need they may have. The Lead Biller is responsible for collecting, posting, and managing account payments.  Responsible for submitting claims and verifying payment from Insurance companies. Writing off payments that were denied or not paid in full of the billing system.  Responsible for verifying insurance for all consumer visits, pre-authorizations of provider services, and for answering calls related to billing. The lead biller is compelled for the Organization’s billing and revenue cycle to maximize cash flow and strengthen billing procedures.

  Essential Functions:

• Recognize credentialing guidelines of various insurances related to behavioral healthcare and communicate accordingly to the credentialing department to ensure the resolution of the credentialing concern.
• Research and implementation recommendations on other CPT codes and other billable services that the company could provide.
• Completes scrubbing and batching process.
• Reports on submission of claims weekly
• Reports status of payments, and denials.
• Identifies and resolves patient billing complaints as needed.
• Review patient statements and set up goals for the Company’s collections completion and minimize errors in the system.
• Evaluate the patient’s financial status and establish budget payment plans. Follows and reports the status of delinquent accounts.
• Answers questions from patients, clerical staff, and insurance companies and ensures intake procedures are in conjunction with a functional part of the billing or RCM.
• Identifies and resolves patient billing complaints.
• Processes payments from insurance companies and prepares a daily deposit (Cash Sheets).
• Ensures and is Responsible for all emails related to billing, will monitor responses from billing staff, and follows through on projects.
• Elaborates strategic planning for billing-related needs and will present planning accordingly to the Operations Manager.
• Oversees billing staff to guide and support them with any need they may have.
• Oversee staff schedules to ensure the billing department is setting and meeting goals.

Other Duties: 

• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Monitors Company cellphones to ensure needed codes are being delivered to the correct person. (This duty is to be shared with other staff members).
• Other duties as requested and assigned by management.

Skills/Experience:

• Must have at least 2-5 years of experience in insurance verifications, billing, and coding.
• Knowledge of ICD-10 CM, CPT, HCPCS.
• Must have excellent time management skills.
• Must be organized, have attention to detail, and documentation skills.

Education/License: Medical billing and coding certificate preferred or equivalent to 2-5 years of experience in the same or similar position. Associates are preferred but not required. 

Skills/Qualifications: Excellent verbal and written communication skills are required. Record keeping must be accurate and thorough. Flexibility with work schedule to meet critical deadlines as established. Aptitude in problem-solving. Outstanding communication and public speaking skills. A driving license is required when commuting to other practice locations.

Experience & Training: Must have experience in a Behavioral Health Service.