Group Leader - Medical Billing (payment Posting) Job in Access Healthcare Services Pvt Ltd.

Ensure accurate posting of medical payments to patient accounts

Oversee the processing of insurance claims denials, appeals, and Interpreting and acting on client communications

Track, assess and resolve client communications

Respond to queries, billing clarifications, verifying the receipt of patient registration information, and notify coding team of any potential coding errors

Responsible for achieving teams performance standards (KPIs and SLAs)

Work on additional tasks that may be assigned from time to time

Set overall goals for team and individual goals for team members

Train the team members on the medical billing processes, provide directions for complex transactions, update and document process changes, and identify training requirements

Track and report key functional metrics to reduce expenses and improve effectiveness

Responsible for supervising the team with respect to performance monitoring and reviews, appraisal processing, and rewards and recognitions

Efficient and effective management of budgets, revenue, and Profit-Loss account

Ensure HIPAA compliance

Assist the manager in client expansion and revenue improvement

Experience in working with large databases and managing large data files

Monitor the issue logs raised by the client partners and review each issue log prior to being escalated to the customer

Manage and handle escalations raised by the clients effectively

Researching/pricing claims including inaccurate payments

Keep the Standard Operating Procedures updated and establish due control mechanisms

Work with quality and business transformation team to identify, recommend and implement process improvement projects

5 to 10 years of Medical Billing (Payment Posting) delivery management experience

Expertise in handling medical equipment billing

Researching/pricing claims including inaccurate payments

Graduation in any Science Stream.

Account team leadership experience leading 50+ individuals

Demonstrated expertise in problem-solving and revenue cycle transformation (for e.g. improvement in % of collections, growth of the client account team size etc.)

Performance record of achievement with great people management & leadership skills

Strong knowledge of US revenue cycle management for Physician Practices and Hospitals

Proven track record in problem solving and improving process efficiency through strong analytical and problem solving skills

Excellent written & verbal communication skills

Strong leadership skills with an ability to motivate direct reports

Develop the team's talent, drive employee retention and engagement