Billing Lead

The Lead Biller is responsible to bill all insurance companies, workers’ compensation carriers, as well as HMO/PPO carriers. Audits records to ensure proper submission of services prior to billing charges. Submit claims for provider visits to third party insurance carriers. Receives hospital information to properly bill provider services for hospital patients. Design and implement processes surrounding proper coding of medical claims. Reviews diagnosis and procedure coding within Epic. Reviewing charts and providing one-to-one educational feedback to the clinicians. Educates business, clinical staff and providers on payer specific policies and general coding guidelines. Processes rejections by either making accounts private and...