Document Review Lead

To provide daily assistance to the Document Review Manager/Supervisor. Has the ability and knowledge to provide training and support for Document Review staff. Assist in administration of day-to-day operations. Identify and report job performance shortfalls. Ensures customer expectations are met. Reviews client orders according to insurance guidelines to ensure accurate billing and reduce denials.

Main Job Tasks and Responsibilities

Receives batches from clients to ensure Medbill has received all orders from the client
Organizes the batch coversheets to use as receipts for the client
Prioritizes orders to review based on set guidelines from supervisor
Gives priority to document review specialist, ensures work is being completed in order.
Review and interpret insurance policy guidelines as it relates to the orders to review for the clients
Correctly code the orders for either data entry or billing confirmation
Communicate with clients on possible issues with orders
Work with client to arrive at acceptable changes that can be made to orders to bill
Communicate to client about the completed or actioned orders
Work with Billing and Accounts Receivable staff on resolving billing issues before submitting claims
Work with Billing and Accounts Receivable staff on finding error trends and client issues to be reported back to the client
Track time spent on each client daily
Track employee progress by checking batched and confirmed orders daily
Provides feedback for team members’ performance appraisals to management. Maintains efficient workflow by holding team mates accountable for quality and efficiency of their work
Train new employees and assist other staff with more difficult orders
Review document review specialist orders for accuracy before confirmation
Other duties as assigned
Education and Experience

Minimum Medical Billing Certificate/Diploma, Bachelor’s Degree preferred
3 years of DME medical billing or equivalent experience
Extensive knowledge of all insurance payer guidelines
Ability to complete orders for all clients
Knowledge of regulatory standards and compliance requirements
Customer service experience
Billing and AR knowledge

Key Competencies

Extreme attention to detail
Excellent verbal and written communication skills
Reading comprehension and critical thinking skills
Represents Medbill in a positive manner
Organizational skills
Self-motivated with abilities to work well in a team
Supervisor experience and/or training
Salary Description