Team Lead - Great Start (HB)

Job Family : Business Operations

Business Operations

Travel Required : None

None

Clearance Required : None

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 perform any and all job-related duties as assigned. 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.

Such duties may include, but are not limited to, the following : 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.

Good communication and interpersonal skills.

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.

Assist client and patients in all requested tasks.

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

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

Typically requires 8 years of relevant experience

What Would Be Nice To Have :

HB 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.

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