Financial Clearance Team Lead

2 weeks ago

Baltimore, United States TEKsystems Full time
Job DescriptionJob Description

TekSystems is currently hiring for an Insurance Verification Specialist Team Lead in the Baltimore area

MUST HAVE: Must have an Associates or Bachelor’s degree in Healthcare Administration or related degree. Will consider High School if experience is 5+ years within industry

4+ years of previous insurance verification experience, prior-authorization, referral exp---Also willing to send Medical Billing supervisors etc too if they have worked within the prior-auth arena and are strong with it

Must have at least 2-3+ years of supervisory or lead experience within healthcare

Must have strong insurance experience and be familiar with all payers

Description:

Serves as the lead verification specialist for team designated responsibilities and tasks. The Financial Clearance Team Lead provides direct supervision and leadership to a team of Insurance Verification Specialists (IVS) and share knowledge formally and informally via individual and group instruction. This position will serve as a resource to the IVS Team for special insurance verification cases and for gaining insurance clearance in difficult situations.

1. Provides guidance, and supervises a team of Insurance Verification Specialists (IVS) in day to day operations.

2. Orients, trains, and monitors proficiency of staff; manages daily staff schedules to ensure appropriate coverage; re-assigns staff during peak loads to prevent patient delays in verifying insurance.

3. Conducts timely staff performance evaluations including initial evaluations, annual appraisals, and follow-ups resulting from coaching or disciplinary actions.

4. Monitors staff time and attendance records, including requests for time off; approve payroll ensuring that hours are accurate and resources are within Institute and departmental policies and procedures.

6. Collaborates with the Director, CMO, and Manager, CMO, to establish and adjust performance standards and workloads for staff. Creates and maintains a positive, knowledge-sharing, and collegial work environment. Sets high work and ethical standards by providing mentorship, direction, and support to staff.

7. Verifies, interprets, and documents patient health insurance or payment sources. Audits IVS team to ensure complete and accurate information is entered into the system.

8. Evaluates eligibility for alternate sources of financing care and refers patients and families to appropriate agencies where possible.

9. Estimates self-pay portions after benefits have been determined, such as deductibles, co-pays, and non-covered services.

10. Performs weekly quality assurance audits of IVS’ work to ensure 100% accuracy is achieved. Communicates findings to the Director, CMO, Manager, CMO, and subordinates; indicates areas that require improvement.

11. Maintains regular communication and follow-up with patients and families to keep them informed of clearance and self-pay matters.

12. Maintains regular communication and follow-up with program and department contacts regarding pending insurance, coverage, and other payment-related matters.

13. Forwards supporting documentation to staff in registration, patient accounting, and clinical areas, as applicable.

Additional Skills & Qualifications:

Must have an Associates or Bachelor’s degree in Healthcare Administration or related degree. Will consider High School if experience is 5+ years within industry

4+ years of previous insurance verification experience, prior-authorization, referral exp---Also willing to send Medical Billing supervisors etc too if they have worked within the prior-auth arena and are strong with it

Must have at least 2-3+ years of supervisory or lead experience within healthcare

Must have strong insurance experience and be familiar with all payers

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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