Job Family:
Business Operations
Travel Required:
Up to 10%
Clearance Required:
None
What You Will Do:
This position will be on a hybrid schedule working two days either in the El Segundo, CA or Lewisville, TX offices and three days from home.
- 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),
- 3) reviews work of and provides feedback and training to Patient Account Reps,
- 4) assists in the implementation of standards and guidelines,
- 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,
- 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
- Research and respond to all patient inquiries received by telephone and mail.
- 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
- 8 years working within the following sectors: healthcare, insurance, business, finance or customer service.
- Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities.
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 $59,000.00-$98,000.00. 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, Person