Patient Financial Coordinator Team Lead

IVI America•Brookline, MA

About The Position

The Patient Insurance Team Lead is responsible and accountable for the financial services that handle all aspects of patient financial service with regard to insurance reimbursement issues. This includes, but is not limited to, referral intake and authorization processing, billing, and collections. This is a senior staff position that involves supervising other staff. This position works with minimal instruction or direction.

Requirements

Associate Degree in accounting or business or a technical training diploma.
High School Diploma acceptable with appropriate hands-on medical reimbursement experience.
Minimum 2 years' experience in billing, auditing and collecting on third party claims and patient balances - required
Working knowledge of all insurance types and guidelines, including the ability to read and interpret EOB's - required
Working knowledge of ICD 9's and CPT4 - required
Ability to access, input, and retrieve information from a computer (keyboard skills 30-40wpm).
Medical software program experience - required
Knowledge of office procedure and office machines (i.e., computer, fax, copier, etc.).

Nice To Haves

Excel a plus.

Responsibilities

Review the doctor schedule on a daily basis to ensure that all new patients and return to center patient have a financial consult (in person or via the phone) to review and answer questions on our financial policies and requirements needed to ensure that patients will receive maximum benefits from their policies.
Manage assigned patient throughout treatment plan to ensure that authorizations have been received, patients are cleared to start cycles, deposits are collected timely for scheduling of procedures.
Answer patient calls and or correspondence as it pertains to billing questions, financial policies, claims submission and any other finance related issue.
Maintain operations by following policies and procedures; studying existing and new credit and insurance information.
Support Finance Department by effecting daily and monthly close.
The recruitment, selection, retention, training and supervision of financial coordinator team personnel.
Overall leadership to assure all team members (1) have a clear sense of their role, (2) know the results expected, (3) understand and accomplish what is required to achieve Company goals and objectives, (4) know how well the team is performing, and (5) are motivated to achieve and continuously improve results; Creation of a work environment that encourages the achievement of individual goals consistent with Company goals, and recognizes and rewards individuals for their unique contributions.
An internal communication climate and network that promises open, accurate, timely, and two way exchange of information, ideas and concerns; the assurance that all financial coordinator team employees are accountable and responsible for their results and are recognized for their achievements.
Maintain Finance Department operations by following policies and procedures; studying existing and new credit and insurance information; enforcing adherence to requirements; advising management on needed actions and/or changes.
Assist with more difficult patient and/or insurance reimbursement and payment issues.
Monitor that phones are being covered and calls are being answered in a timely manner.
Assist the Management team develop and implement workflow for new products, services, and processes; help analyze the effectiveness of new products, services, and processes once implemented.
Accept other billing projects as assigned by Management and Senior Management.
Contribute to team effort by maintaining an excellent rapport and working relationship with Patient Services, and cooperating with other departments within the Practice.
Managing team PTO requests.
Timesheets and payroll
The pledge that financial coordinator team job results are achieved and sustained by coaching, counseling, and disciplining, as well as planning, monitoring, and appraising job results.