Senior Biller

HearingLife is a part of the Demant Group, a world-leading hearing healthcare group that offers solutions and services to help people with hearing loss connect with the world around them. With over 600 locations across the United States - HearingLife's vision is to make a life-changing difference for people with hearing loss. Our innovative technologies and know-how help improve people's health and hearing. We create life-changing differences through hearing health. This Team Member must uphold the HearingLife Core Values:

• We create trust
• We are team players
• We apply a can-do attitude
• We create innovative solutions

To help more people hear better by ensuring the best experience for patients by submitting clean and accurate insurance claims in a timely manner. The purpose of this position is to review and correct all claims and the supporting documentation required to justify the service while maintaining patient service excellence.

The Senior Medical Billing Specialist is an expert Biller who identifies, resolves and reports billing related trends. Assists Management with tracking, documenting and SOP creation to provide ongoing training for Associates and Specialists on HIPAA compliant and insurance plan specific requirements. Responsibilities include but are not limited to training new hires, monitoring field related inquiries, working escalated workgroups and partnering with Management to ensure clean claim submission and denial prevention. This position is the primary point of contact, who acts as the liaison between Associates, Specialists and Management while providing hands on, front-line leadership.

• Possess full understanding of all insurance financial classes within the billing system.
• Adheres to insurance guidelines and maintains quality results.
• Identify, analyze, and resolve billing and clearinghouse discrepancies.
• Assist with creation of training materials, standard operating procedures, and manuals.
• Review escalated inquiries from the team prior to Management
• Provides outstanding customer service by assisting with field inquiries and escalated items.
• Partner with Management on special projects, clearinghouse maintenance and ticket assignments.
• Main point of contact in the absence of the supervisor.
• Other duties as assigned and directed by Management
• Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice

• High school diploma, GED; Associate degree preferred or Medical Billing certification (CPC, CRCR, CCS, etc.)
• 5+ years of experience in a billing and/or collections in medical insurance claim processing environment.
• Full understanding of CMS Guidelines, HIPAA, ICD-10, and CPT coding
• Experience with EDI and Claims Clearinghouse functions
• Expert level knowledge of Microsoft Office Suite specifically excels and word. Knowledge of pivot tables and V Look-up functions.
• Excellent verbal and written communication skills
• Ability to Multi-task and work in a fast-paced environment
• Ability to work independently.
• Problem Solving and Organizational abilities

*** Standard work hours will be designated based on assigned region and time zone.

We are an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, sex, national origin, disability, or protected veteran status.

#HearingLife_US

#LI-WJ1

#LI-ON