Insurance Compliance Team Lead - Interphase Medical Equipment - Pittsburgh, PA

Insurance Compliance Team Lead - Interphase Medical Equipment - Pittsburgh, PA -

Common Description: The Insurance Compliance Team Chief is finally chargeable for the well timed verification that each one insurance tips and necessities have been adopted by the Buyer Service and Scripts Groups whereas processing affected person orders.

Accountable to: Director of HR and Compliance

Duties and Duties:

1. Complies with all relevant Interphase Medical Equipment insurance policies, procedures, and affected person protocols. Complies with all present authorities laws and professional requirements, together with voluntary compliance plans.
2. Oversees the Insurance Compliance Team’s every day operations and assures that each one required features to course of affected person orders are assigned to applicable personnel.
three. Ensures that each one insurance tips are met, previous to remaining submission of claims. This consists of payors similar to Medicare, State Medicaid, and business payors.
four. Communicates any insurance compliance errors or discrepancies to different Team Leaders and particular staff members.
5. Ensures that the Division operates as a coordinated unit and facilitates the switch and sharing of pertinent info to advertise employees information and competency.
6. Assigns particular person duties to specific employees members when mandatory.
7. Works with the management of Interphase Medical Equipment to acquire company monetary objectives and goals.
eight. Participates in instructional coaching on an ongoing foundation as a way to keep information and competency concerning the billing procedures and protocols of federal, state, and personal payors.
9. Assumes full duty for his/her personal actions, skilled expertise, and attitudes.10. Performs some other duties, as assigned.
10. Help with the onboarding of latest insurance contracts.
11. Help with the event and implementation of a coaching guide on present and future insurance contract tips.
12. Help with the appliance course of for brand spanking new insurance contracts.

Qualifications:

• Schooling: Excessive Faculty diploma or equal

Expertise/Information:

• 5 years insurance billing expertise with main payors, akin to Medicare and Medicaid


• Three years supervisory expertise required


• Pc, typing, and 10 key expertise


• Operation of a pc billing software program program.


• Means to deal with heavy phone visitors and stay calm.


• Potential to deal with deadlines beneath stress.


• Element oriented.

Job Sort: Full-time

Wage: $zero.00 /yr

Required schooling:

• Highschool or equal

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