Team Lead- Bill Review Services
JOB
Summary:
To assist the company in administering client's workers' compensation medical bill adjudication programs in accordance with jurisdictional statutory and regulatory authorities, internal policy and procedures, and client specifications. This position primarily responsible for supervising the medical bill review process, and ensuring the timely and accurate adjudication of medical bills. The position will be responsible for leading a team of MBR Analyst to ensure that their daily tasks are completed in a both timely and accurate manner. The position has the authority to assign daily tasks and provide direction to MBR Analysts.
ESSENTIAL JOB
Responsibilities:
Supervises medical bill review workflow process and ensures compliance with internal policy and procedures
Supervises a team of MBR Analyst
Assigns daily tasks and provides direction to MBR Analyst
Ensures accurate and timely adjudication of medical bills in accordance with jurisdictional and internal policy requirements
Reviews daily production, quality, and status reports and sets daily priorities
Ensure that production quotas within the quality guidelines of the division
Response to provider and customer inquiries in a timely manner
Communicate to management any workflow problems, issues or backlog immediately.
Consistently achieve or exceed established performance and results standards for the essential functions and responsibilities of the position
Perform all aspects of the job in an accurate and highly motivated fashion.
Prioritize and organize assigned work
Continually foster a teamwork spirit
Maintain a neat working environment
Pursue personal and professional development
Assist with special projects and assignments as necessary
Maintain a professional image of the company, including professional appearance and attitude.
Maintain a good rapport with internal and external customers
Maintain a neat working environment
Pursue personal and professional development
Perform other duties as assigned by management
SKILLS/ABILITIES:
Possess excellent organizational skills
Possess good customer service skills
Demonstrated ability to work in a team environment
Desire for growth
KNOWLEDGE:
Must have good medical terminology knowledge
Must be able to type a minimum of 50 WPM
Familiar with windows based programs
EDUCATION:
BS / BA or Equivalent Work Experience
Experience:
Minimum 2 years MBR experience in the workers compensation industry
Post-secondary education in medical billing and/or AMA Certified Coder designation preferred
Enter job descriptionEstimated Salary: $20 to $28 per hour based on qualifications.
Summary:
To assist the company in administering client's workers' compensation medical bill adjudication programs in accordance with jurisdictional statutory and regulatory authorities, internal policy and procedures, and client specifications. This position primarily responsible for supervising the medical bill review process, and ensuring the timely and accurate adjudication of medical bills. The position will be responsible for leading a team of MBR Analyst to ensure that their daily tasks are completed in a both timely and accurate manner. The position has the authority to assign daily tasks and provide direction to MBR Analysts.
ESSENTIAL JOB
Responsibilities:
Supervises medical bill review workflow process and ensures compliance with internal policy and procedures
Supervises a team of MBR Analyst
Assigns daily tasks and provides direction to MBR Analyst
Ensures accurate and timely adjudication of medical bills in accordance with jurisdictional and internal policy requirements
Reviews daily production, quality, and status reports and sets daily priorities
Ensure that production quotas within the quality guidelines of the division
Response to provider and customer inquiries in a timely manner
Communicate to management any workflow problems, issues or backlog immediately.
Consistently achieve or exceed established performance and results standards for the essential functions and responsibilities of the position
Perform all aspects of the job in an accurate and highly motivated fashion.
Prioritize and organize assigned work
Continually foster a teamwork spirit
Maintain a neat working environment
Pursue personal and professional development
Assist with special projects and assignments as necessary
Maintain a professional image of the company, including professional appearance and attitude.
Maintain a good rapport with internal and external customers
Maintain a neat working environment
Pursue personal and professional development
Perform other duties as assigned by management
SKILLS/ABILITIES:
Possess excellent organizational skills
Possess good customer service skills
Demonstrated ability to work in a team environment
Desire for growth
KNOWLEDGE:
Must have good medical terminology knowledge
Must be able to type a minimum of 50 WPM
Familiar with windows based programs
EDUCATION:
BS / BA or Equivalent Work Experience
Experience:
Minimum 2 years MBR experience in the workers compensation industry
Post-secondary education in medical billing and/or AMA Certified Coder designation preferred
Enter job descriptionEstimated Salary: $20 to $28 per hour based on qualifications.
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