Team Lead - Great Start (HB)

US104 Guidehouse Managed Services LLC; San Antonio (TX); On-site; USD 55,000 - 78,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

Paid Holidays

Discretionary bonus

401(k) Retirement Plan

Parental Leave

Job summary

Guidehouse is seeking a Great Start Team Lead / Floater to support client office operations within revenue cycle and training activities. You will coordinate activities, serve as SME for assigned projects, and train staff on processes to ensure compliance and accuracy.

Responsibilities include supervising Patient Account Reps, auditing accounts, and delivering timely reports while maintaining service levels and client satisfaction.

Qualifications

• High School Diploma/GED or equivalent; 3+ years of relevant experience considered in lieu of diploma.
• 8 years of experience in healthcare, insurance, business, finance or customer service contexts.
• Experience with claims, billing, follow-up, or related responsibilities.

Responsibilities

• Coordinate activities related to PFS Follow up and act as SME for client projects.
• Review work of Patient Account Reps and provide training/feedback.
• Assist in implementing standards and guidelines and ensure performance goals are met.
• Prepare productivity, call and payment reports and monitor dashboards.
• Train new employees and support project-specific refresher sessions.

Skills

Self-motivation

Communication

Training

Interpersonal skills

Leadership

Education

High School Diploma/GED

Tools

Word

Excel

Windows

METRIX

Call Center Platforms

Job description

Job Family: Business Operations Travel Required: Up to 10% Clearance Required: 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),
• 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 voucher 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.

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.

• 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

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [e-mail]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [e-mail]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.

Guidehouse is a global AI‑led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.

guidehouse.com