Team Lead Billing

Team Lead - Billing

Job Summary

As a Team Lead - Billing for Patient Financial Services at Medtronic's expanding Diabetes Care center in Pune, you'll be responsible for the accuracy and completeness of billing and charges within the revenue cycle. This hands-on leadership role involves reviewing, correcting, and processing billing errors, charge discrepancies, and claims denials. You'll work closely with various departments to ensure accurate coding, compliance with payer requirements, and the maximization of reimbursement.

A Day in the Life

You'll lead billing operations and drive financial health by:

• Reviewing and analyzing charge capture data for accuracy and completeness.
• Identifying and correcting charge errors and discrepancies.
• Collaborating with clinical and coding staff to resolve charge-related issues.
• Monitoring and reviewing billing processes to ensure compliance with payer guidelines.
• Identifying billing errors and making necessary corrections to avoid claim denials.
• Ensuring timely and accurate submission of claims to payers.
• Managing the resolution of denied claims by identifying root causes and correcting errors.
• Resubmitting corrected claims to payers for reimbursement.
• Tracking and reporting on claim correction activities and outcomes.
• Ensuring all billing and charge correction activities comply with relevant laws, regulations, and internal policies.
• Staying updated on changes in billing regulations and payer requirements.
• Utilizing your extensive experience with various insurance plans (PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination.

Required Knowledge and Experience

• Bachelor's degree in business or accounting major is preferred.
• 8+ years of experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payer contracts.
• Advanced knowledge of insurance contracting, payer regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations.
• Advanced experience with reading and understanding medical policy information, and utilizing insurance benefit and coverage information to recover denied claims.
• Advanced experience with various insurance plans offered by both government and commercial insurances.
• Experience with medical billing and collections terminology - CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.

Benefits & Compensation

This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).

About Medtronic

At Medtronic, we lead global healthcare technology, boldly attacking the most challenging health problems facing humanity by searching out and finding solutions. Our Mission to alleviate pain, restore health, and extend life unites a global team of 95,000+ passionate people. We are engineers at heart, putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity.