Hybrid Insurance Billing Lead — Precise & Impactful

ClarkLindsey; Urbana (IL); Ibrido; USD 65.000 - 75.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health, Dental & Vision Insurance

Flexible Spending Accounts

AFLAC Insurance

Long-Term Disability

Life Insurance

Educational Reimbursement

Paid Time Off

Sick Leave

Bereavement Leave

On-Site Fitness Center

Uniform Purchase Assistance

Lifelock and AAA Enrollment Options

Complimentary Meals

Employee Assistance Program

Descrizione del lavoro

Lindsey Communities is seeking an Insurance Billing Lead to drive accurate third-party billing across multiple entities and ensure regulatory compliance. The role emphasizes detail, structured workflows, and effective communication with residents and families regarding billing inquiries.

You will oversee AR processes, coordinate with external vendors, and aim to improve cash flow while maintaining financial integrity in a hybrid Urbana, IL setting.

Competenze

• 2–5 years of healthcare revenue cycle management experience.
• Strong knowledge of Medicare, Medicaid and commercial insurance regulations.
• High precision, strong analytical skills, and the ability to work independently.
• Experience with EMR/billing systems and proficiency in Microsoft Office Suite.

Mansioni

• Lead and manage all third-party billing activities for the multi-entity organization.
• Ensure accurate monthly statements and insurance claims.
• Verify insurance coverage, authorizations, and coordinate with external billing vendors.
• Coordinate timely and compliant claim submission to successful collection.
• Communicate clearly and professionally with residents and families regarding billing inquiries.
• Oversee insurance AR processes and reconcile payor accounts.
• Follow up on outstanding balances and reduce aging accounts through systematic processes.
• Implement strategies to improve cash flow and maintain financial integrity.
• Ensure adherence to Medicare, Medicaid, and commercial insurance requirements.
• Stay current on CMS, NCCI, and payor-specific updates; implement required changes promptly.
• Lead audit responses and facilitate monthly claim accuracy and compliance checks.
• Coordinate third party credentialing and recredentialing for the organization.
• Partner with clinical, therapy, and administrative teams to maintain accurate census and billing data.
• Collaborate with external billers to monitor claim statuses and assist in resolving billing issues or requests for additional documentation, including claim appeals.
• Generate AR, reconciliation, and performance reports for leadership.

Conoscenze

Healthcare revenue cycle

Third-party billing

EMR systems

Microsoft Office

Strumenti

EMR systems

Microsoft Office

Descrizione del lavoro

Lindsey Communities is seeking an Insurance Billing Lead to drive accurate third-party billing across multiple entities and ensure regulatory compliance. The role emphasizes detail, structured workflows, and effective communication with residents and families regarding billing inquiries.

You will oversee AR processes, coordinate with external vendors, and aim to improve cash flow while maintaining financial integrity in a hybrid Urbana, IL setting.