Lead Pre-Billing and Claims Associate - Remote

Overview

The Lead Pre-Billing and Claims Associate at UMass Memorial Health oversees the pre-billing and claims process, ensuring efficient claim submissions and resolution of issues while providing guidance to team members.

In Short

• Provides functional oversight to assigned Pre Billing and Claims Associates.
• Monitors workflow and employee performance metrics.
• Handles escalated accounts and ensures timely resolution.
• Assists in training and technical support for staff.
• Communicates regularly with team and management.
• Maintains departmental policies and procedures.
• Identifies performance improvement opportunities.
• Ensures compliance with health care regulations.
• Participates in cross-training initiatives.
• Contributes to a collaborative team environment.

Requirements

• High School diploma required.
• Five or more years of experience in health care billing.
• Knowledge of health care revenue cycle systems.
• Understanding of claims submission processes.
• Exceptional communication and interpersonal skills.
• Advanced knowledge of claim form content.
• Experience with denial resolution.
• Ability to work collaboratively.
• Initiative to assist in issue resolution.
• Ability to navigate claims processing applications.

Benefits

• Potential signing bonus available.
• Comprehensive benefits package.
• Opportunities for professional development.
• Collaborative work environment.
• Commitment to diversity and inclusion.