201 – 500 Қызметкерлер
Білікті жұмысшы визасының демеушісіДенсаулық сақтауМедициналық сақтандыруӨндірісTobii Dynavox қарым-қатынас мүмкіндігі шектеулі адамдарға арналған көмекші коммуникация технологияларын әзірлейді. Оның өнімдеріне бүкіл әлемде жеке тұлғалар, мамандар және ұйымдар пайдаланатын толықтырушы және баламалы коммуникация құрылғылары, көзді бақылау жүйелері, сөйлеуді қалыптастыратын құрылғылар және коммуникациялық қолданбалар кіреді. Компания бұл құралдарды жеке қажеттіліктерге бейімдеуге, сондай-ақ тиісті оқыту, қолдау және керек-жарақтар ұсынуға көңіл бөледі. Оның технологиялары АЛС, аутизм және церебралды сал ауруы сияқты жағдайлары бар адамдарға қызмет көрсетіп, денсаулық сақтау саласындағы тәжірибені мамандандырылған технология өндірісімен ұштастырады.
Remote Healthcare Billing Team Lead - Pennsylvania
Lead Tobii Dynavox’s healthcare billing team supporting claims, denials, collections, compliance, and reimbursement processes. Coach billing specialists, resolve complex account issues, and improve revenue-cycle performance.
Сипаттама
- Manage the Billing Department’s daily operations
- Lead, coach, train, mentor, and support DME Billing Specialists and Funded Collectors
- Monitor workloads, allocate assignments, and keep claim processing on schedule
- Perform quality reviews and deliver constructive feedback
- Support performance reviews, development planning, and staffing recommendations
- Act as the initial escalation point for billing concerns and complex account resolutions
- Oversee clean claim submissions to Medicare, Medicaid, commercial insurers, workers’ compensation plans, and other payers
- Track and resolve claim rejections, denials, payer edits, appeals, collections, and reimbursement concerns
- Evaluate billing trends to identify process improvements and revenue-enhancement opportunities
- Review aging accounts receivable and set collection priorities
- Address billing discrepancies and documentation problems with internal teams
- Ensure correct modifiers, authorization requirements, and billing procedures are used
- Maintain compliance with Medicare, Medicaid, HIPAA, DMEPOS, and payer-specific requirements
- Monitor regulatory developments and explain relevant changes to staff
- Perform regular audits and assist with corrective action plans
- Measure and report KPIs such as claims billed, clean-claim rates, denial rates, accounts-receivable aging, cash collections, and productivity
- Create and maintain department policies, procedures, templates, and training resources
- Share payer trends and complex matters with the Funded Collections Manager
- Partner with billing, funding, contracting, and other team leads and managers
- Contribute to cross-functional and technology enhancement initiatives
- Provide training support and represent the team at interdepartmental meetings and training sessions
Талаптар
- At least 3–5 years of healthcare billing experience
- DME billing experience is preferred
- Previous leadership, mentoring, or supervisory experience is preferred
- Experience billing Medicare, Medicaid, and commercial insurance
- Experience handling billing denials, appeals, collections, and reimbursement workflows
- Thorough knowledge of DMEPOS billing guidelines and payer requirements
- Understanding of HCPCS coding, modifiers, authorizations, and reimbursement methodologies
- Proficiency with billing platforms, EMR systems, payer portals, and Microsoft Office
- Strong analytical and problem-solving abilities
- Excellent collaboration, organization, communication, and interpersonal skills
- Ability to prioritize competing responsibilities in a fast-paced setting
- Ability to protect confidential information and follow HIPAA requirements
- High attention to detail and a consistent focus on quality
- Ability to manage several tasks concurrently
- Ability to remain composed and professional in stressful situations
- Ability to lead change-management efforts
- Ability to sit for extended periods while working at a computer
- Ability to communicate effectively by phone, video conference, and email
- Ability to occasionally lift up to 15 pounds
Артықшылықтар
- Fully remote work arrangement
- Occasional travel, approximately once or twice annually
- Career development opportunities within a dynamic global company
- Collaborative work environment
- Equal opportunity employment