Revenue Cycle Lead

National-Seating-; North (SC); On-site; USD 42,000 - 64,000; Full time

Job summary

Commercial Vehicle Group is seeking a detail-oriented billing collections professional to join our Revenue Cycle team. The role focuses on answering questions, monitoring productivity, and assisting with workload changes and onboarding.

The candidate will review MIRs, write-offs, and refunds, support First Pass Yield measurements, and research payer issues to resolve them efficiently. Maintaining professionalism is expected at all times.

Qualifications

• High School Diploma or equivalency certificate.
• 1-year healthcare collections/billing experience preferred.
• Solid written and verbal communications skills.
• Strong attention to detail.
• Ability to audit, analyze and prepare reports.
• Solid data entry skills-keyboarding/accuracy/speed.
• Proficiency with Microsoft suite of products (i.e., Word, Excel, and Outlook).

Responsibilities

• First level for employee questions relating to job functions in collections.
• Monitor Activity Reports to ensure productivity standards are consistently met; review results with Supervisors.
• Assist with changing workload assignments and support during LOA/PTO and seasonal volume.
• Review and validate MIRs, write-offs and refund requests for timely approval/denial.
• Aid in driving First Pass Yield results and evaluating team progress.
• Research payer issues identified by collectors and propose solutions to Revenue Cycle Supervisor/Manager.
• Assist with onboarding and training post QA completion; audit of claims and provide feedback on errors.
• Support specialist training and mentoring under Manager/Supervisor.
• Perform other duties as assigned.
• Maintain a professional work environment at all times.

Skills

Attention to detail

Communication skills

Data entry

Microsoft Word

Excel

Outlook

Auditing and reporting

Healthcare billing knowledge

Time management

Education

High School Diploma or GED

Tools

Microsoft Word

Excel

Outlook

Job description

Duties and Responsibilities / Essential Functions:

• First level for employee questions relating to job functions in collections.
• Monitor Activity Reports to ensure productivity standards are consistently met. This includes meeting with Supervisors to review productivity results.
• Has changing workload assignment and assists with open workload assignments including support during LOA and PTO of specialist along with seasonal support based on increased volume.
• Responsible for review and validation of MIR's, write off and refund requests for approval or denial in a timely manner.
• Aide with driving First Pass Yield results and evaluating team progress.
• Research payer issues when identified by collector as problematic. Present proposed solution to Revenue Cycle Supervisor and/or Manager to resolve.
• Responsible for assisting with continued employee onboarding and training upon their completion of QA training. This includes auditing of claims and providing timely feedback on errors made.
• Supports specialist training and mentoring under direction of the Manager and or Supervisor.
• Assumes other duties and responsibilities as assigned.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms.

Required Education, Experience & Competencies:

• High School Diploma or equivalency certificate.
• 1-year healthcare collections/billing experience preferred.
• Solid written and verbal communications skills.
• Strong attention to detail.
• Ability to audit, analyze and prepare reports.
• Solid data entry skills-keyboarding/accuracy/speed.
• Proficiency with Microsoft suite of products (i.e., Word, Excel, and Outlook).

This job description in no way states or implies that these are the only duties to be performed by this employee. He/She will be required to follow any other instructions and to perform any other duties requested by his/her supervisor.

Individuals will be expected to maintain a professional work environment at all times.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.