Billing Lead

Overview

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Tenet Physician Resources, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• 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

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

This is a remote position.

Assists with the coordination and supervision of daily activities of a group of Billing Specialist as well as support billing and collections functions of the medical practice.

Responsibilities

• 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 policies that affect his/her 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.
• Assist in scheduling and coordinating team activities.
• Handles escalated and unresolved issues from less experienced representatives.
• Enter charges in a timely manner
• File claims and run/work audit trails daily Process ERAs, payments, and adjustments
• Balance daily activity- Prepare and send Batch Cover Sheet to Director and accounting Ensure 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 Review/work delinquent insurance and patient balances Work credit balances Run reports as requested by management or accounting. Other responsibilities as assigned.

Qualifications

Education: High school diploma/GED required with completion billing or coding program preferred.
Certification:
Experience: Must have a minimum of 5 years of experience working in medical billing
Other Requirements: None
Performance Requirements:
Knowledge:
1. Knowledge of Accounts Receivable collection process
2. Knowledge of the Red Flag rules
3. Knowledge of Electronic Health Systems
4. Knowledge of ICD-9 and CPT codes

Tenet Healthcare/TPR complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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Organization 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.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

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