Lead PFS Medical Billing Specialist

🔥 4 minutes ago

🏈 Alabama, Colorado, +14 more states – Remote

🏈 Alabama – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 10%

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Mosaic Life Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

🏥 Healthcare

💰 $250k Grant - Mosaic Life Care on 2023-08

Healthcare

Mosaic Life Care is a regional health system and medical provider based in Northwest Missouri. As a member of the Mayo Clinic Care Network, Mosaic provides a wide range of outpatient and acute care services across medical centers and clinics, offers urgent care (including an online "Hold My Spot" feature), a Community Nurse Line, online patient portal (myMosaic by MyChart), cardiac scoring screening, and patient-facing services like scheduling, billing, and medical records access. The organization emphasizes community-focused healthcare and access to Mayo Clinic expertise for local patients.

📋 Description

• Collaborate with managers to map existing processes and facilitate process improvement • Serve as project manager for PFS initiatives and ongoing staff training and education • Design, develop, configure, and implement onboarding and caregiver training programs • Perform as proxy for the manager and conduct quality reviews • Mentor Medical Billing Team members and act as a first escalation tier • Review and analyze complex claims, researching payer guidelines and collaborating with provider representatives and departmental leaders • Create and maintain process and workflow documents • Research and resolve complex billing questions, discrepancies, claim errors, and rejections • Research payer policies and contracts and provide updated information to PFS teams and leadership • Collaborate with revenue cycle departments to resolve billing and compliance issues • Attend or lead PFS meetings and coordinate follow-up resolution • Maintain relationships with PFS departments and provider representatives • Analyze and resolve accounts and systematic issues • Ensure billers follow correct account-processing steps and procedures • Ensure accurate billing, timely filing, month-end reconciliation, and compliance with payer guidelines • Assist with special projects, audits, reports, and departmental reporting

🎯 Requirements

• Remote employment limited to candidates residing in Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, or Virginia • Intermediate to Advanced Microsoft application skills • Excellent oral and written communication skills • Excellent organization and time management skills; ability to establish priorities effectively • Dependable in production and attendance • Professional communication with internal and external departments and customers • Creative problem-solving skills • Ability to research and review payer policies, guidelines, and compliance guidelines • Medical terminology knowledge • Ability to escalate issues appropriately to leadership • Ability to work independently and multitask • Ability to interact virtually with the team • Ability to analyze and interpret data and explain issues thoroughly • Ability to organize data and collaborate to resolve carrier claims processing issues • Ability to operate computers, telephones, fax machines, calculators, and copiers continuously/repetitively • H.S. Diploma - Required • Associate's Degree - Preferred • Four years of non-clinical healthcare experience, preferably in revenue cycle - Preferred • Previous leadership experience highly preferred

🏖️ Benefits

• Concierge services • Employee lounge • Wellness programs • Free covered parking • Free on-site and virtual health clinics • Compensation and recognition