Team Lead - Government Claims - Medicare Specialist

Job Family : PFS General

PFS General

Travel Required : None

None

Clearance Required : None

None

What You Will Do :

The Team Lead - Medicare Specialist will assist in overseeing the daily operations of assigned project(s). This position is responsible for providing support in developing, implementing, managing, and meeting or exceeding the operational goals of our clients and Company.

The Team Lead will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes.

This position will follow and ensure that client and company policies and procedures are followed and will also perform all job-related duties as assigned.

This position will be on a hybrid schedule working two days in the office and three days from home.

Questions regarding this position, you may contact Chris Rivera (Manager, Talent Acquisition) at (424) 430-3111

Strong Medicare emphasis

Assisting team members both onshore and offshore

Mentoring of fellow team members when needed

Supporting of staff / supervisor to be successful and work as a team

Manage day-to-day problem solving and a point of contact for team questions

Quality assurance reviews, feedback, and other trainings as necessary

Ability to work with other leads to develop policies and procedures, as needed

Provide feedback for mid-year and year end employee reviews to leadership

Organizing team building exercises

Create, distribute, and monitor team members understanding of work-related job-aides

Monitor and ensure compliance with company and client standards

Strong understanding of all software / systems used

Identify, validate, and report project trends / issues

Updating of spreadsheets, monitoring outstanding items for each client, and providing updates to leadership, client, and team

All job-related duties as assigned

What You Will Need :

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

Eight years relevant experience

What Would Be Nice To Have :

Strong Medicare background

Demonstrated proficiency in relevant revenue cycle processes with high production and quality standards

Strong verbal and written communication skills to effectively communicate with staff and client

Demonstrated proficiency interpreting relevant coding systems including, but not limited to, CPT and HCPCS and ICD-10 in a fast-paced environment.

Demonstrated leadership qualities fostering team cohesion, accountability, and high performance

Demonstrated proficiency researching billing guidelines

Demonstrated skills providing training and mentoring to team members

Act as a role model for team, office, and company

The annual salary range for this position is $65,900.00-$98,900.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer :

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include :

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