Team Lead - Billing

Lehigh Valley Health Network; Allentown (Lehigh County); On-site; USD 65,000 - 90,000; Full time

Job summary

Lehigh Valley Health Network, based at Mack Building in the Mack Blvd area, is seeking a capable leader to manage the Physician Billing team responsible for accurate and timely claims submission.

You will monitor work queues, resolve payer edits, and train staff to ensure clean submissions and efficient workflows within the Epic system. The role requires an Associate’s Degree and 2 years in healthcare, with knowledge of pre- and post-adjudication of claims.

Qualifications

• Associate’s Degree required.
• 2 years in the healthcare field or equivalent.
• 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 submission to maximize 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 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.

Skills

Healthcare experience

Claims processing

Leadership

Education

Associate’s Degree

Job description

Imagine a career at one of the nation’s most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the “Best Hospitals” by U.S. News & World Report for 23 consecutive years. We’re a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center’s prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an ‘A’ grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN’s commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you’re considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary

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

Job Duties

• Monitors accurate and timely claims paper and electronic claim submission to maximize claim submission delays.
• Ensures accurate review and timely resolution of eligibility, claim, and payer edits.
• Builds a cohesive team that 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 the 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.

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 other such protected classes 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.

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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift:

Day Shift

Address:

2100 Mack Blvd

Primary Location:

Mack Building

Position Type:

Onsite

Union:

Not Applicable

Work Schedule:

M-F 8am - 4:30p

Department:

1004-13054 CSS-Patient Accounting