Lead A/R Coordinator

Description

Lead Billing Coordinator

1.Job Identification

Job Title Lead Billing Coordinator

Reporting to Billing Manager

Department / CC Billing / 1100

Location Phoenix Administration

Job Reference AARA/Lead Billing Coordinator

No. Job Holders 1

Last Update August 2022

2. Job Purpose

The role of the Lead Billing Coordinator in the AARA is to supervise and train the billing coordinators, as well as, keep an open dialogue between the patients, insurance companies and the practice.

3. Job Dimensions

Supervisory/Line Management Authority

None

Area Authority

Billing Department

Financial Authority

None

Process Authority

Directed, standardized process authority in assisting, prioritizing, coordinating and completing their workload in close consultation with the billing team and other practice divisions

Patient Contact

May have patient contact via email, web portal, and telephone.

4. Organizational Position

CFO

Director, Revenue Cycle Management

Billing Manager

5. Role of the Department

The role of the Billing department is to maintain the flow of both charges and payments, assist patients with billing inquiries and facilitate all administrative duties that accomplish this. The department has a high level of financial responsibility that would be at risk for poor public perception and negative financial performance when standard operating procedures are not followed.

6. Key Result Areas

• Analytical Skills-ability to read medical records
• Highly skilled in CPT and ICD-10 coding
• Have broad knowledge of Medicare, AHCCCS and Commercial Insurance billing
• Ability to work with doctors, APC’s, and insurances to create medical records
• Verify accuracy of billing data and revise errors.
• Operate software system for billing, posting, and claims research.
• Obtain and/or enter such documents as authorizations, financial agreements, and other such ancillary documents as may be necessary.
• Maintain detailed records as required.
• Resolve discrepancies in accounting records.
• Interact with staff, clients, payer and Agencies to answer questions,
• Obtain information, and resolve issues.
• Monitor aging reports and take such steps as necessary to guaranteepayment of claims.
• Coordinate and collect necessary information from staff or payers forclaim adjudication.
• Participate in take-back, overpayment, and refund process.
• Recognize problem accounts and notify appropriate staff or supervisor to assist in problem resolution.
• Anticipate insurance trends and advise supervisor of changes.
• Assist in the creation of manuals and protocols.
• Participate in the training of new staff members.

7. Equipment, Machinery and Systems

Equipment and Machinery

• Telephone
• PC/Laptop
• Scanner/Fax/Copier
• General Office Equipment

Systems

• Paycom
• Nextgen
• Availity
• MS Office applications
• Insurance Portals

8. Assignment and Review of Work

All new AARA employees will agree initial objectives to be assessed on completion of their 90-day initial review period. Thereafter, all employees will enter the annual appraisal cycle under the AARA Talent, Performance and Career Management Policy where annual appraisals will be conducted by their Line Manager and CEO. Further information on the appraisal cycle calendar is available from the HR

Manager and from the Talent, Performance and Career Management Policy on the AARA Intranet.

9. Communication and Relationships

The postholder must have strong interpersonal and relational talents. Success in this role involves building and maintaining relationships with internal and external stakeholders

Key Internal Relationships

Director of Revenue Cycle

Billing Manager

Site Managers

Key External Relationships

Patients

Medical staff within the clinics

10. Demands of the Job

Physical

Lifting, Moving and Handling

Patient

Sitting for long periods etc

Mental

Effort/Fatigue

Stress

Requirements

11. Knowledge, Skill, Training and Experience to do the Job

Essential

• High School Diploma
• Great customer service skills
• Highly skilled in CPT and ICD-10 coding
• Have broad knowledge of Medicare, AHCCCS and Commercial Insurance billing
• Ability to handle high volume charge review/entry
• Complete A/R adjustments where permitted and appropriate; request other adjustments where permitted and appropriate
• Comply with and adhere to all regulatory compliance areas, policies and procedures (including "HIPAA and PCI compliance requirements), and ""leading practices"""

Desirable