Team Lead, Revenue Cycle Services

Location : Remote

Job Type : Internal Direct

Hours : Full Time

Travel : No

Relocation : No

Job Industry : Computer Software

Job Description :

The Team Lead, Revenue Cycle Services will play an instrumental part in the overall success of the MEDHOST Business Services Follow-up team. In collaboration with Revenue Cycle Managers, the Team Lead should exhibit a commitment to creating and upholding an environment that supports department and team collaboration. The Team Lead will assist in improving efficiency and effective operations, monitor and coordinate daily processes and workflow, and lead training activities related to the department. Identify opportunities to reduce A/R and improve financial performance, while providing superior customer service.

• Perform duties and responsibilities in a positive manner that upholds MEDHOST policies, and procedures
• Leads team efforts through setting a good example, communicating clearly, and setting goals
• Assume responsibilities of Revenue Cycle Manager(s) in his/her absence
• Assist Revenue Cycle Manager in maintaining workflows to ensure department and staff goals are met
• Develop and maintain training materials and conduct training and mentoring sessions for new and existing staff
• Collaborate with management staff to achieve improvements within the follow-up team
• Maintain current knowledge of payor trends and collaborate with other department leads as necessary to facilitate departmental operations
• Identify trends in payments, denials, and cash posting that compromise the ability of the department to meet established goals
• Assist employees with day-to-day questions, issues, or problems
• Reviews and approves account adjustments submitted by team members
• Works patient accounts and coordinates backup coverage when employees are not present
• Prepares reports and presents data during leadership meetings
• Prepares reports and presents data during facility status calls
• Complete monthly audits/performance evaluation for each assigned team member
• Complete employee annual reviews with Manager, Revenue Cycle Services
• Meet with each team member regularly to give feedback on strengths, weaknesses, accomplishments, & areas of improvement
• Assists manager with planning daily workflow and work distribution
• Monitor and maintaining performance standards by ensuring production and quality standards are met and advise manager of performance deficiencies
• Monitor assigned work queues daily to ensure performance goals are being met
• Maintains timekeeping records, PTO requests, and ensures adequate departmental staffing at all times
• Maintain strict confidentiality related to employee and patient records
• Attend Annual compliance/HIPPA training as required
• Conduct staff meetings as required
• Assist in the interview process
• Assist management staff with supervisory activities as directed
• Other duties as assigned

Administrative Duties:
• Accurately input/submit and approve worked time by the required departmental deadlines
• Maintain department documentation
• Maintain documentation regarding Customer interaction
• Provide training and training documentation in areas of expertise necessary to assist team members and customers
• Maintain in-depth knowledge of the MEDHOST core products
• Maintain in-depth knowledge of insurance payers and collection regulations
• Maintain MEDHOST software applications utilized & industry knowledge through self-study and by attending training classes
• Attend and participate in team and departmental meetings
• Respond to email, TEAMS, and phone communications in a timely manner
• Ensure that all HIPAA Privacy and Security requirements and responsibilities are adhered to
• Assists the leadership team in evaluation of team skills and recommend improvements
• Books travel in adherence to the company travel policy

Required Qualifications :

Knowledge, Skills, and Abilities:

• Knowledge of computer applications or other automated systems, such as excel spreadsheets, word, email, and data base software in working assignments. MEDHOST (HMS) knowledge preferred.
• Knowledge of hospital billing and revenue cycle terminology
• Maintain in-depth knowledge of insurance payers and collection regulations
• Access protected health information (PHI) in accordance with departmental assignments and guidelines
• Skilled in making accurate arithmetic computations
• Understand and communicate, in English sufficiently to perform essentials duties of this position
• Good interpersonal skills that include the ability to effectively communicate in both writing and verbally
• Display excellent communication, good judgment, tact, initiative, and resourcefulness
• Proven ability to understand and interpret reason for payments, or refunds
• Must be detail oriented, organized, and ability to multi-task
• Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives
• Demonstrate the ability to build and maintain strong internal relationships as well as motivate and inspire other team members through strong and consultative skills
• Must be flexible with a “can do” attitude and have the ability to remain professional under high pressure situations

Training and Experience:
• High School or equivalency diploma required
• 5 years’ experience, where the primary function was insurance follow-up, or similar work, 3 of which must have been in or for a hospital patient accounts department
• Previous role as Senior Account Representative or Team Lead within a hospital business office or equivalent required
• Thorough understanding of accounts receivable, collections, billing, appeals, and denials
• Must be able to follow directions and to perform work according to department standards independently
• Interacts successfully with all levels of staff and management; responds positively to direction and supervision
• Sufficient in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.) to complete work assigned
• Must be emotionally mature and able to function effectively under stress
• Customer Service oriented
• Must be willing to travel up to 20%