Reimb Operations Team Lead

2 months ago

Owings Mills, United States RCO Mil Full time
Job DescriptionJob Description

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a Reimbursement Operations Team Lead, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.

You Will:

  • Supports the objectives of the Department Manager.
  • Ensures that all processing and quality standards are maintained. Assist in completing random quality review to ensure processes are being followed and identifying training needs and/or improvement opportunities.
  • Implements enhanced work processes within the department, as directed by management.
  • Evaluates workflow and workloads throughout the department on a daily basis. Alerts manager to backlog conditions. Implements corrective action, as directed.
  • Provides team member support in resolution of reimbursement issue.
  • Ensures team members meet subsidiary standards as it relates to the team’s daily responsibilities (i.e. data entry, coding, patient calls, etc).
  • Ensures team members follow all compliance plan standards conforming to applicable guidelines and regulations.
  • Remains current on applicable billing and reimbursement changes, guidelines, and updates.
  • Provides team members with support and motivation.
  • Recognizes and provides coaching, counseling, and discipline as appropriate.
  • Delegates work appropriately and follows through to ensure optimal results.

You Are:

  • Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations
  • Able to demonstrate high level of attention to detail, excellent organizational skills and have the ability to multitask
  • Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world class customer service

To Ensure Success In This Role, You Must Have:

  • Ability to communicate effectively through verbal and written communication.
  • Requires organizational and time management skills necessary to organize special project teams to reach predetermined goals.
  • Requires the ability to adapt to urgent deadlines or changing priorities and maintain composure in high stress situations at all times.
  • Proficient computer skills.
  • Solid understanding of billing and reimbursement processes.
  • Ability to demonstrate analytical problem solving skills.
  • Exercises a high degree of initiative, judgment, discretion and decision-making to achieve objectives for area of responsibility.
  • Ability to share information effectively and provide appropriate direction to staff.
  • The above knowledge, skills and abilities may be demonstrated by an Associate Degree in Accounting, Business Administration, or a four-year degree in business or a related field and/or equivalent as well as medical billing experience.

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