Team Lead - Healthcare - Hospital PFS - Onsite

Guidehouse•San Marcos, CA

50d•$65,000 - $108,000•Onsite

About The Position

The Team Lead - Hospital Claims - Hospital Revenue Cycle, PFS is responsible for supervising and coordinating the daily operations and activities of the assigned team of patient account representatives. This role ensures the efficient handling of patient accounts while maintaining quality assurance standards. The individual is to provide support in developing, implementing, managing, and meeting or exceeding the operational goals of our clients and Company. The Team Lead will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes. This position will follow and ensure that client and company policies and procedures are followed and will also perform all job-related duties as assigned. This position is classified as an onsite position working in the San Marcos, CA central business office.

Requirements

High School Diploma/GED and 8 years of relevant experience.
Relevant experience coming from the following, healthcare payor, provider, revenue cycle, business operations, or professional services environment.
Strong understanding of all software/systems used.

Nice To Haves

Hospital claims A/R background
Demonstrated proficiency in relevant revenue cycle processes with high production and quality standards
Verbal and written communication skills to effectively communicate with staff and client
Demonstrated proficiency interpreting relevant coding systems including, but not limited to, CPT and HCPCS and ICD-10 in a fast-paced environment.
Proficiency researching billing guidelines
Providing training and mentoring to team members
Act as a role model for team, office, and company

Responsibilities

Supervising and coordinating the daily operations and activities of the assigned team of patient account representatives.
Ensuring the efficient handling of patient accounts while maintaining quality assurance standards.
Providing support in developing, implementing, managing, and meeting or exceeding the operational goals of our clients and Company.
Working closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes.
Following and ensuring that client and company policies and procedures are followed.
Performing all job-related duties as assigned.
Mentoring of fellow team members when needed.
Supporting of staff / supervisor to be successful and work as a team.
Managing day-to-day problem solving and acting as a point of contact for team questions.
Conducting quality assurance reviews, providing feedback, and other trainings as necessary.
Sending of official correspondence (e-mails) to team members, client, and providers.
Working with other leads to develop policies and procedures, as needed.
Providing feedback for mid-year and year end employee reviews to leadership.
Organizing team building exercises.
Creating, distributing, and monitoring team members understanding of work-related job-aides.
Monitoring and ensuring compliance with company and client standards.
Identifying, validating, and reporting project trends / issues.
Updating of spreadsheets, monitoring outstanding items for each client, and providing updates to leadership, client, and team.

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program