Billing Team Lead

2 weeks ago

LEWISVILLE, United States Guidehouse Full time
p style="text-align:left">Job Family:Business Operations


Travel Required:

None


Clearance Required:

None

What You Will Do:

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 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.  1) assists manager and supervisor in coordinating all activities related to PFS Follow up  2) will serve as Subject Matter Expert in all areas of assigned client project(s), and  3) reviews work of and provides feedback and training to Patient Account Reps, and 4) assists in the implementation of standards and guidelines, and 5) answers questions and routinely assists employees in area and to ensure performance goals are met, 6) reviews reimbursement to ensure payments received are timely and accurate, and 7) performs other duties as assigned by direct supervisor

  • Must be self-directed / self-motivated.

  • 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.

  • Manages and reports on task dashboard and work queue (desk) daily/weekly/monthly

  • 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

  • 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. 

  • Communicate to Guidehouse management areas of concern or areas of improvement. 

  • Provide client specific training for patient account representatives

  • Review and update production reporting

Client Responsibility

  • 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.


What You Will Need:

  • High School Diploma/GED or 3 years of relevant equivalent in lieu of diploma/GED

  • 8 years of relevant experience


What Would Be Nice To Have:

  • PB 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.

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