Team Lead - Great Start (HB)

Guidehouse•San Antonio, TX

28d•Onsite

About The Position

The Great Start Team Lead/ Floater is an extension of a client’s business office staff as well as our in-house client specific training program. Representatives will perform any and all job-related duties as assigned. Representatives will provide training to staff members for all projects and positioned assigned to their role related to revenue cycle reimbursement. Under general supervision and according to established policies and procedures, performs a variety of duties related to customer service and self-pay recovery functions of Call Center Support Operation. Such duties may include, but are not limited to, the following: assists manager and supervisor in coordinating all activities related to PFS Follow up; will serve as Subject Matter Expert in all areas of assigned client project(s); reviews work of and provides feedback and training to Patient Account Reps; assists in the implementation of standards and guidelines; answers questions and routinely assists employees in area and to ensure performance goals are met; reviews reimbursement to ensure payments received are timely and accurate; performs other duties as assigned by direct supervisor. Must be self-directed / self-motivated. Good communication and interpersonal skills.

Requirements

High School Diploma/GED or 3 years of relevant equivalent in lieu of diploma/GED
8 years working within the following sectors: healthcare, insurance, business, finance or customer service
Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities
Account Review
Appeals & Denials
Medicare/Medicaid
Insurance Follow-up
Customer Service
Billing
UB-04 & CMS 1500
Reporting
Training
Subject Matter Expert and remains current in all areas of designated project/client, including client host system and imaging systems, internal host system – METRIX, internal vendor systems and call center platforms
Complete all business-related requests and correspondence from patients and insurance companies
Reviews work of team members and provides training and feedback as needed
Audits patient accounts as requested
Assists management with coordinating activities
Train new employees and facilitates project specific refresher training sessions
Performs functions assigned by Supervisor/Manager to ensure team objectives are met
Provide continuing education for current employees
Assists employees and answers questions to make certain team’s performance goals are met
Assists in the implementation of standards and guidelines
Prepares daily productivity, call and payment reports

Nice To Haves

HB experience
Three to five years of experience in the healthcare field
PC skills in a Windows environment are required
Knowledge and utilization of desktop applications to include Word and Excel is essential
Ability to initiate and follow through on projects and work independently with minimal supervision required

Responsibilities

Assists manager and supervisor in coordinating all activities related to PFS Follow up
Serves as Subject Matter Expert in all areas of assigned client project(s)
Reviews work of and provides feedback and training to Patient Account Reps
Assists in the implementation of standards and guidelines
Answers questions and routinely assists employees in area and to ensure performance goals are met
Reviews reimbursement to ensure payments received are timely and accurate
Performs other duties as assigned by direct supervisor
Manages and reports on task dashboard and work queue (desk) daily/weekly/monthly
Provides timely feedback to appropriate management
When working AR responsible for working on up to 40 Accounts Per Day
Complete all assigned projects in a timely manner
Assist client and patients in all requested tasks
Communicate to Guidehouse management areas of concern or areas of improvement
Provide client specific training for patient account representatives
Review and update production reporting
Research and respond to all patient inquiries received by telephone and mail
Update patient demographic information and initiate account adjustments
Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections

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