Payment Integrity Team Lead

HealthFund Solutions•Orlando, FL

1d•Onsite

About The Position

At HealthFund Solutions, we are an advocate for the uninsured and the underinsured patients and a partner to hospitals and healthcare providers. With decades of experience in the healthcare field, we observed a rising need to help a percentage of the population that continues to grow every day—those living without health insurance. Through sponsorship programs, Medicaid screening and premium monitoring, we empower patients to get the coverage and care they need to get back on their feet. Reporting to our Payment Integrity Manager, the Payment Integrity Team Lead trains new hires, approves payments and research complex matters. Prior experience with insurance technology, medical background, and payment management of accounts, management/leadership experience, accounting, or financial experience necessary.

Requirements

High School Diploma required
One (1) to two (2) years of experience with mentoring, training, leadership, or managerial experience required
One (1) to two (2) years of experience in medical insurance invoicing and payment management of accounts is required
One (1) to two (2) years of general accounting experience or financial experience required
Organization skills
Extreme attention to detail
Process Initiative
Ability to communicate effectively in speaking and writing
Work effectively with individuals from diverse backgrounds
Ability to establish and maintain effective working relationships
Ability and desire to communicate effectively by telephone
Perform operations in Microsoft Office Suite
Ability to sit for long periods of time entering data into the computer
Ability to occasionally lift up to 10 pounds
Ability to concentrate and stay on task for long periods of time
All candidates must successfully pass a national background check and a 12-panel drug screening.

Nice To Haves

College Degree or some college preferred

Responsibilities

Interact with Company departments and external vendors
Send, receive, and review contracts with external vendors
Update Company databases, with extreme attention to detail
Work in compliance with banking portals
Verify Insurance information on patient account for accuracy and contract compliance
Assist in making patient insurance premiums payments
Accurately record payments made in company database per outlined procedures
Review exception reports
Actively pursue refunds owed by insurance companies
Act as back up to the Payment Integrity Manager
Monitors inter- & intra-departmental communications (emails and teams)
Researches and solves more intricate insurance/payment discrepancies and ensures follow through
Assists with the auditing process to ensure all payments have been processed accurately and timely
Assists with and oversees training new associates of Payment Integrity duties alongside Level II
Back up to approving Payment System requests
Back up to end of night or other reporting needs
Assists with intradepartmental Onspring Ticket needs
Assists with organizing in-office needs of Payment Integrity Team such as supplies/filing etc.
Flexible to shift to alternate duty assignment based on timely needs of the team/volume
Observes onsite staff daily to ensure acceptable work ethic and production
Coaches team members daily or when needed for corrections/teachings
Reports to Payment Integrity Manager all problem resolutions needing attention
Assists Payment Integrity Manager by providing feedback for all team member reviews
Provides the eyes and ears of the office staff to management whenever necessary
Other duties as assigned