Team Leader Patient Accounting - Payment Applications

Position Overview

Provides guidance and assists staff with the review and analysis of various reports in the assigned area. In cooperation with the Supervisor, identifies and analyzes errors to determine action needed for performance improvement. In conjunction with level II Insurance Specialists, assists in researching and addressing administrative customer service issues. Works with all team members to resolve multiple primary and secondary billing, collection, and customer service issues with payers and patients.

Primary Duties and Responsibilities

• Assists with the daily audit and review of reports to ensure that verification is completed. May monitor the error tracking and other statistical reporting systems, communicates to supervisor any trends or problem areas. Investigates, monitors, and consults with supervisor and makes recommendations to address untimely follow-up of accounts.
• Assists with the daily / weekly / monthly audit of accounts to ensure that accounts meet department standards. Makes recommendations to supervisor to improve the effectiveness of verification efforts, reporting any problems or issues with the process.
• Assists with review and analysis. Maintains ongoing knowledge of specified forms including state required forms and filing requirements. Communicates problems and issues relative to eligibility conversion to appropriate parties. Acts as a liaison between staff, agency, and state to resolve issues.
• Reviews daily reports to insure completion of verification process and readiness of all accounts for and ensuring a standard turnaround time of scheduled services and based on the payer specific requirements for all unscheduled services. Reviews accounts to determine action required, utilizes all resources and documentation.
• Assists the supervisor with the development of financial, operational, customer service, and productivity targets. Assists with selection, training, and orienting of department staff. Assists with compiling and maintaining an updated training manual. Provides training to staff including training team members in the specific work applications and computer systems used for the department.
• May assist with the formal performance reviews and provides feedback to Manager in accordance. Provides timely and appropriate verbal counseling of staff when they deviate from department standards; in conjunction with Manager, assists in the development of measures to improve performance.
• May complete timecards and maintains attendance records. Coaches and counsels staff. Initiates or makes recommendations to the supervisor for personnel actions (terminations, suspension, evaluations, interviewing, etc.). May conduct staff meetings on a regular basis. Keeps staff informed via in-service meetings and memorandums.
• Identifies and evaluates staff productivity and base workload assignments, in conjunction with Supervisor, to determine that appropriate allocation of resources, standards, and staff performance is optimized.
• May supervise the day-to-day activities of the assigned staff to accomplish the established monthly and quarterly financial and productivity goals. Establishes priorities, schedules, distributes daily workload and reassigns tasks as necessary.
• May be accountable for securing information over the phone from the patient or insurance company including pre-collection and preregistration on accounts. Monitors the telecommunications system by measuring voice mail messages, voice mail abandonment, duration of calls taken per representative and duration that each patient is held in queue, etc.
• Assures that all payment batches are forwarded to the Imaging department by department set standards the following business day. Ensures the accuracy of the Archive Lockbox Control Log and its timely completion. Assures that payments, allowances, and discounts are processed within 24 hours of receipt, with no more than a 3% error rate. Reports inability of department to meet deadlines to Supervisor of the department as well as the Supervisor of the Document Imaging Support Services.
• Provides coverage for staffing vacancies. Provides guidance to associates engaged in posting of self-pay and third party payments to accounts receivable, assuring training in the applications of the SMS, McKesson, and other applicable systems related to payment applications. Ensures that the Training Checklist is complete and validates by audit understanding and compliance.
• Reviews unidentified live checks daily to ensure that they are either deposited timely, or forwarded to the appropriate department (Accounts Payable, Payroll, Accounting) for review. Works directly with the Part B vendor, Cashier department, and Customer Service department at Georgetown University to ensure that all files (i.e. : Cashier, JV, and Transfer Requests) are sent, received, and posted timely. Works with Information Systems to ensure compliance and functionality, both with system and electronic posting sent for grant and nursing home payments.

Minimal Qualifications

Education

Experience

Licenses and Certifications

Knowledge, Skills, and Abilities

This position has a hiring range of $20.57 - $36.27