Iredell Health System
Statesville, NC
A Lead Billing Specialist oversees the daily operations of the billing team, ensuring accurate, compliant, and timely submission of claims to maximize reimbursement. Key duties include training staff, auditing records for coding accuracy (ICD-10/CPT), managing accounts receivable (AR), and resolving escalated claim denials. Train and mentor new hires, provide side-by-side coaching, and assist with the maintaining and updating of billing procedure manuals. Prepare and submit claims, either electronically or by paper, to private health and County/State insurance companies. Contact insurance companies to correct billing issues and resubmit claims to third-party payers. Review remittances and take appropriate actions including: Perform follow-up and error correction to support re-billing of denied claims. Re-bill denied and all claims to a successful completion. Conduct regular audits of team data entry to ensure accuracy and strict adherence to HIPAA and other federal...