Team Lead - Billing

Lehigh Valley Health Network; Allentown (Lehigh County); On-site; USD 60,000 - 80,000; Full time

Job summary

Lehigh Valley Health Network in Allentown, United States is seeking an individual to manage a team responsible for accurate and timely claims submission. This role assists with monitoring work queues and identifying issues within the Epic system, ensuring the team achieves operational efficiency.

The ideal candidate will have an Associate’s Degree and at least 2 years of experience in the healthcare field, along with a thorough understanding of claims processing. The position emphasizes teamwork and training.

Qualifications

• Associate’s Degree
• 2 years in the healthcare field
• Understanding of pre- and post-adjudication of claims processing in a physician practice or equivalent operations environment.

Responsibilities

• Monitors accurate and timely claims paper and electronic claim submission to maximize claim submission efficiency.
• Ensures accurate review and timely resolution of eligibility, claim, and payer edits.
• Builds a cohesive team that works well together to ensure the work of the team is accomplished.
• Drives efficiencies in process and workflow to maximize the team's ability to submit clean claims to the payer.
• Prioritizes work within Physician Billing and delegates to staff members.
• Provides the training necessary to ensure the physician billers are knowledgeable in the edits they are responsible for.

Job description

Summary

Manages a team of individuals responsible for accurate and timely claims submission. Assists with monitoring work queues and identifying issues within the Epic system by having a thorough understanding of the edits processed by the Physician Billing team.

Job Duties

• Monitors accurate and timely claims paper and electronic claim submission to maximize claim submission efficiency.
• Ensures accurate review and timely resolution of eligibility, claim, and payer edits.
• Builds a cohesive team that works well together to ensure the work of the team is accomplished.
• Drives efficiencies in process and workflow to maximize the team's ability to submit clean claims to the payer.
• Prioritizes work within Physician Billing and delegates to staff members.
• Provides the training necessary to ensure the physician billers are knowledgeable in the edits they are responsible for.

Minimum Qualifications

• Associate’s Degree
• 2 years in the healthcare field
• Understanding of pre- and post-adjudication of claims processing in a physician practice or equivalent operations environment.

Physical Demands

Lift and carry 25 lbs. Frequent sitting/standing, frequent keyboard use. Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer

This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Equal Opportunity Employer

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or any other protected class as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to, recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.