Billing Team Lead

Job not on LinkedIn

🔥 0 minutes ago

🔔 Pennsylvania – Remote

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⏰ Full Time

🟠 Senior

📊 Billing Specialist

👻 Ghost score 10%

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Logo of Tobii Dynavox

Tobii Dynavox

201 - 500 employees

Founded 2001

🏥 Healthcare

🏭 Manufacturing

⚕️ Healthcare Insurance

Healthcare • Manufacturing • Healthcare Insurance

Tobii Dynavox is a company dedicated to developing and providing assistive technology solutions for people with communication disabilities. They offer a range of products including augmentative and alternative communication (AAC) devices, eye-tracking technology, and communication apps. Tobii Dynavox aims to enhance the lives of individuals with conditions such as ALS, autism, and cerebral palsy by enabling effective communication through speech-generating devices and cutting-edge technology. The company also provides training, support, and a variety of accessories to support their extensive product line, focusing on personalizing solutions to meet individual needs. Tobii Dynavox products are used globally by individuals, professionals, and organizations.

📋 Description

• Oversee the daily operations of the Billing Department • Lead, coach, train, mentor, and support DME Billing Specialists and Funded Collectors • Monitor workloads, assign tasks, and ensure timely claim processing • Conduct quality reviews and provide feedback • Assist with performance evaluations, employee development plans, and staffing recommendations • Serve as the first point of escalation for billing-related issues and complex account resolutions • Oversee clean claim submission to Medicare, Medicaid, commercial insurance carriers, workers' compensation plans, and other payers • Monitor and resolve claim rejections, denials, payer edits, appeals, collections, and reimbursement issues • Analyze billing trends and identify process improvement and revenue enhancement opportunities • Review aging accounts receivable and prioritize collection efforts • Resolve billing discrepancies and documentation issues with internal departments • Ensure appropriate modifiers, authorization requirements, and billing practices are applied • Maintain compliance with Medicare, Medicaid, HIPAA, DMEPOS, and payer-specific regulations • Monitor regulatory changes and communicate updates to staff • Conduct routine audits and support corrective action plans • Track and report KPIs including claims billed, clean claim rates, denial rates, accounts receivable aging, cash collections, and productivity metrics • Develop and update departmental policies, procedures, templates, and training materials • Communicate payer trends and complex issues to the Funded Collections Manager • Work collaboratively with billing, funding, contracting, and other team leads and managers • Participate in cross-functional and technology improvement projects • Provide educational support and represent the team in inter-departmental meetings and training sessions

🎯 Requirements

• Minimum 3-5 years of healthcare billing experience required • Preferred DME billing experience • Prior leadership, mentoring, or supervisory experience preferred • Experience with Medicare, Medicaid, and commercial insurance billing • Experience managing billing denials, appeals, collections, and reimbursement processes • Strong knowledge of DMEPOS billing guidelines and payer requirements • Understanding of HCPCS coding, modifiers, authorizations, and reimbursement methodologies • Proficiency with billing software, EMR systems, payor portals, and Microsoft Office applications • Strong analytical and problem-solving skills • Excellent collaboration, organizational, communication, and interpersonal skills • Ability to prioritize multiple tasks in a fast-paced environment • Ability to maintain confidentiality and compliance with HIPAA regulations • Strong attention to detail and commitment to quality • Ability to handle multiple tasks simultaneously • Ability to maintain composure and professionalism under stressful situations • Ability to lead change management initiatives • Ability to sit for extended periods while working at a computer • Ability to communicate effectively via phone, video conferencing, and email • Occasional lifting of up to 15 pounds may be required

🏖️ Benefits

• Flexible work arrangement with a fully remote position • Occasional travel, approximately 1–2 times per year • Career growth opportunities within a dynamic, global company • Collaborative work culture • Equal opportunity employment

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