Team Lead - Healthcare - Physician Claims

Guidehouse•Lewisville, TX

16d•$59,000 - $98,000

About The Position

The Team Lead will assist in overseeing the daily operations of assigned project(s). This position is responsible for providing 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. Physician Claims A/R Follow-up Knowledge Assisting team members both onshore and offshore Mentoring of fellow team members when needed Supporting of staff / supervisor to be successful and work as a team Manage day-to-day problem solving and a point of contact for team questions Quality assurance reviews, feedback, and other trainings as necessary Sending of official correspondence (e-mails) to team members, client, and providers Ability to work with other leads to develop policies and procedures, as needed Provide feedback for mid-year and year end employee reviews to leadership Organizing team building exercises Create, distribute, and monitor team members understanding of work-related job-aides Monitor and ensure compliance with company and client standards Strong understanding of all software/systems used Identify, validate, and report project trends / issues Updating of spreadsheets, monitoring outstanding items for each client, and providing updates to leadership, client, and team All job-related duties as assigned

Requirements

High School Diploma/GED or 3 years of relevant equivalent in lieu of diploma/GED
8+ year’s relevant experience within an office, business, operations, customer service or healthcare setting.
Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting, or customer service-related responsibilities.

Nice To Haves

Strong physician claims A/R background
Demonstrated proficiency in relevant revenue cycle processes with high production and quality standards
Strong 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.
Demonstrated leadership qualities fostering team cohesion, accountability, and high performance
Demonstrated proficiency researching billing guidelines
Demonstrated skills providing training and mentoring to team members
Act as a role model for team, office, and company

Responsibilities

Overseeing the daily operations of assigned project(s)
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
Physician Claims A/R Follow-up Knowledge
Assisting team members both onshore and offshore
Mentoring of fellow team members when needed
Supporting of staff / supervisor to be successful and work as a team
Manage day-to-day problem solving and a point of contact for team questions
Quality assurance reviews, feedback, and other trainings as necessary
Sending of official correspondence (e-mails) to team members, client, and providers
Ability to work with other leads to develop policies and procedures, as needed
Provide feedback for mid-year and year end employee reviews to leadership
Organizing team building exercises
Create, distribute, and monitor team members understanding of work-related job-aides
Monitor and ensure compliance with company and client standards
Strong understanding of all software/systems used
Identify, validate, and report project trends / issues
Updating of spreadsheets, monitoring outstanding items for each client, and providing updates to leadership, client, and team
All job-related duties as assigned

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
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