IMMEDIATE OPENING
Medical Billing-Revenue Cycle – Appeal Lead/Trainer – Government & Third-Party Liability
Remote or On-Site
Starting Pay $19.00
The Government & Third-Party Liability Appeal Lead/Trainer provides leadership and oversight to the Revenue Cycle employees to ensure an overall high level of quality, efficiency, and productivity, while affirming all departmental goals are satisfactorily met. Maintains a physically, mentally, and environmentally safe work environment for all employees. Provides a positive work environment and mentors employees by providing purpose, motivation, and direction in-order-to accomplish the department’s mission.
Essential Functions/Duties
Oversee appeal follow up processes to ensure appeals are filed and followed up on in a timely manner.
Maintain a working knowledge of billing regulations and follow-up collection trends with a diverse group of national payors.
Assure process and resources are allocated to provide required payor documentation assembly and filing in a timely manner.
Gather, analyze, and identify billing and/or follow-up problems recommending corrective actions and procedural changes.
Analyze work processes to maximize efficiency.
Monitor goals and motivate employees to foster high performing teams.
Work effectively as a member of a leadership team.
Communicate clearly and concisely, both orally and in writing, giving presentations as needed.
Serve as a "champion" for best practices within our “I-Care” Cultural Pillars. (Integrity / Compassion / Accountability / Responsibility / Excellence)
Must be fluent in English
Minimum three (3) years of experience in healthcare/revenue cycle billing environment
Minimum six (6) months previous training or leadership experience or applicable experience
Above average knowledge of Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, Worker’s Compensation and other third-party liability payors
Minimum of two (2) years experience in a call center environment
Proficient in Word, Excel, Office 365
Knowledge and experience of computers and related technology at an intermediate level
Medicare, Medicaid, Workers’ Compensation appeal experience
A minimum of one (1) year working in a customer service
Knowledge of health care billing procedures, reimbursement, third party payer regulations, documentation, and standards
Knowledge of health care billing compliance regulations
Knowledge and understanding of payor Explanation of Benefits (EOB)
Ability to define problems, collect data, establish facts, and draw valid conclusions with strong problem-solving skills, attention to detail, and ability to make timely decisions
Ability to drive results, review/improve processes, and manage change
Ability to interpret remittance advice notices/explanation of benefits
Excellent internal and external customer service skills
Responsiveness and a strong commitment to meeting internal and external deadlines with limited supervision
Strong written and verbal communication skills and interpersonal skills
Strong quantitative, analytical, and problem-solving skill
Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com.. Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at GlobalMedicalResponse.com/Careers.
Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.
Check out our careers site benefits page to learn more about our benefit options.
