Billing Team Lead

Capital Area Pediatrics offers accessible, comprehensive pediatric care to families at five practice locations throughout Northern Virginia. For both sickness and health, generations of families have chosen Capital Area Pediatrics to provide outstanding care and an exceptional patient experience. We have an exciting opportunity for someone interested in growing into a leadership role within healthcare.

This is a full-time, non-exempt, position located at our corporate business office in Oakton, Virginia. This position is expected to be on site Monday-Friday. The Team Lead will partner with department and company leadership to provide front line support to team members and patients.

Training & Team Member Support

• Assist team members with troubleshooting and escalations.
• Partner with leadership to provide training to current employees to include retraining, rollouts of new Standard Operating Procedures (SOPs), new workflows, and/or new systems.
• Demonstrate excellent interpersonal skills with staff, customers, and peers while contributing to a team environment.
• Lead by example in upholding all company policies and procedures – support leadership in ensuring all company policies and procedures are upheld.
• Identify opportunities for continuous improvement and take an active role in implementation as appropriate.
• Partner with department leadership to optimize staff scheduling based on business needs.
• Make recommendations for team meeting agendas to leadership and actively participate/facilitate as appropriate.

Operations & Analytics

• Support in monitoring productivity within key systems (Athena EMR) to identify when additional support is needed and/or to identify training priorities.
• Assist in the resolution of patient questions and concerns.
• Lead functions related to check posting, charge entry, edits processing, and customer service.
• Demonstrate advanced proficiency in Athena billing modules.
• Participate in credentialing process.
• Make recommendations for data-driven strategies to improve billing efficiency and reduce errors, and support implementation.
• Support department leadership in monitoring shared mailboxes pertaining to the department services and action accordingly.
• Support department leadership in ensuring referrals are completed timely to support patient needs.
• Support department leadership in identifying the need for new or modified Standard Operating Procedures (SOPs).
• Complete charge entry duties and provide support for team members as appropriate.
• Partner with Supervisor to schedule recurring team meetings with thoughtful and relevant agenda items.
• Ensure compliance with medical coding policies and guidelines.

Other Duties

• Employees may be asked to take on other duties as assigned and escalate any concerns to leadership or Human Resources.

Knowledge, Skills, and Abilities

• Excellent oral and written communication skills.
• Excellent computer skills i.e., Microsoft Office suite, ability to navigate websites.
• Ability to multi-task and perform well in stressful situations.
• Knowledge of billing practices and
• Time management and strong organizational skills.
• Knowledge of general administration in a healthcare setting.
• Can work independently and with a team.

Working Conditions

• This position is primarily based in an administrative office setting.
• Must be able to remain in a stationary position 50% of the time.
• Continuously operates a computer and other office productivity machinery, such as a calculator, copy machine, printer, and phone.
• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
• This position may require occasional overtime in order to support business needs and participation in the weekend leadership rotation.
• Demonstrated understanding of Medicaid and various insurance company systems.
• Knowledge of healthcare reimbursement and third party payer regulations and medical terminology required.
• Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations.

Requirements

• Medical Billing experience required - experience supporting a multisite primary care practice is preferred.
• Experience training others in a professional setting strongly preferred.
• One (1) years of leadership experience in a professional setting strongly preferred.
• Healthcare industry experience required.
• Demonstrated understanding and compliance with the Health Insurance Portability and Accountability Act (HIPAA).
• Demonstrated experience utilizing Patient Intake Software – Phreesia strongly preferred.
• Demonstrated experience utilizing Electronic Medical Records – Athena strongly preferred.

Capital Area Pediatrics ("the Company") is a proud Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, pregnancy, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment decisions are based on qualifications, merit, and business needs. The Company does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of the Company and the Company will not be obligated to pay a placement fee. Employees must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Furthermore, job descriptions typically change over time as requirements and employee skill levels change. The Company retains the right to change or assign other duties to this position.