Benefits :
- Bonus based on performance
- Health insurance
- Paid time off
Job Description : We are seeking a highly organized and detail-oriented Client Enrollment & Support Lead to join our team at a reputable third-party medical billing company.
In this role, you will be responsible for the daily operational support, coordination, and supervision of billing system management.
Your primary duties will include leading client onboarding activities to ensure smooth transitions, managing healthcare Electronic Data Interchange (EDI) operations and implementations, overseeing customer support for EDI systems, and ensuring accurate setup of EDI and ERA (Electronic Remittance Advice) for both existing and new clients.
Responsibilities :
- Lead client onboarding to ensure all tasks are completed prior to Go-Live
- Manage healthcare EDI operations, implementations, and customer support for EDI systems
- Update insurance fee schedules into billing system
- Conduct regular review and analysis of ERAs to ensure no gaps in payers loading
- Identify opportunities for improvement within the billing system
- Train and coach support team for rapid resolution of processing issues
- Oversee support of our Enterprise Content Management (ECM) system
- Manage payer updates and troubleshoot system issues
- Support HL7 Interface
- Collaborate with the IT department to ensure the smooth integration of new technologies and upgrades related to billing systems
- Develop and implement best practices for billing processes to optimize efficiency and accuracy
- Provide guidance and support to the team on complex billing inquiries and escalations
- Conduct regular audits to ensure compliance with billing and insurance regulations
- Stay updated with industry trends and changes in billing practices to ensure the company remains compliant and competitive
- Foster a positive and collaborative work environment within the team
Qualifications and Requirements :
- Thorough knowledge and working experience of CPT, HCPC, and ICD10 codes, HCFA 1500 claim forms, HIPAA, medical billing and insurance regulations
- Experience with automated billing systems and data management systems
- Strong management skills with the ability to manage staff and respond to support requests professionally and in a timely manner
- Experience with Massachusetts-based and national insurance plans is a must
- Knowledge of the Harris CareTracker billing system is a plus
- Understanding of HL7 interface messaging
- Excellent attention to detail and commitment to quality
- Strong problem-solving skills and ability to adapt to change
- Resourcefulness and willingness to assist colleagues
- Strong organizational skills
- Ability to navigate challenging circumstances without panic
- Motivation to achieve personal success and contribute to company goals
- Team player attitude, self-confidence, and general optimism
- Flexibility to assist with various company tasks as needed
Additional Information : This is a full-time position available for immediate hire. Resumes that do not match the job requirements outlined will not be retained.
Flexible work from home options available.
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