Team Leader, Commercial & Denials - Phoebe Putney Health System

Description

JOB SUMMARY

• Coordinates and supervises the Commercial Billing and Denials Follow Up areas. Responsible for the hiring, training and disciplinary procedures of the teams under the direction of the Patient Account Director. Responsible for training staff and maintaining computer systems on Third Party Insurance rules and regulations updates related to billing and follow-up functions. Responsible for collection activities on accounts that involve legal or quasi-legal efforts as well as accounts that have specific laws directing the process for Phoebe Putney Memorial Hospital. Maintains adequate staffing of the department and provide direct support when required. Maintains supplies and equipment necessary to operate the department and monitor costs associated with area operation within established budget guidelines.

GENERAL REQUIREMENTS

• Adheres to the hospital and departmental attendance and punctuality guidelines
• Performs all job responsibilities in alignment with the core values, mission and vision of the organization
• Performs other duties as required and completes all job functions as per departmental policies and procedures
• Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
• Must have a general understanding of accounting principles, and the Federal Income Tax Code.

WORKING CONDITIONS

• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
• May be exposed to high noise levels and bright lights.
• May be required to change from one task to another of different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• May be scheduled as needed including overtime

Qualifications

EDUCATION REQUIREMENTS

• 2 year / Associate Degree in Business Administration or related field (Required)
• 4 year / Bachelor's Degree in Business Administration or related field (Preferred)

EXPERIENCE REQUIREMENTS

• 4 - 5 years supervision (Required)
• 4 - 5 years revenue cycle in a healthcare environment, preferably acute and sub-acute care hospital setting (Required)

CERTIFICATIONS AND LICENSURES

• Required Certifications/Licensures: Certified Patient Account Representative (CPAR)

GENERAL SKILLS

• OrganizationalSkills
• Communication Skills
• Interpersonal Skills
• CustomerRelations
• Mathematical
• Analytical
• Grammar / Spelling
• Read / Comprehend Written Instructions
• Follow VerbalInstructions
• Basic Computer Skills
• Microsoft Office Suite
• General ClericalSkills
• Ability to coach and develop personnel
• Must have knowledge of MedicalTerminology and Third Party Insurance Carriers
• Must have knowledge of ThirdParty Insurance Carriers
• Must have knowledge of Medical Terminology and ThirdParty Insurance Carriers
• Thorough understanding of HCPCS, CPT, diagnosis codesand revenue codes
• A proven track record in effective problem solving, analyticalability and strong leadership skills required
• Self-starter with a high degreeof organizational and motivational skills.

PHYSICAL REQUIREMENTS

• Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors
• Have good - manual dexterity and eye-hand-foot coordination
• Ability to perform - repetitive tasks/motion

PHYSICAL DEMANDS

• Standing - Occasionally within shift (1-33%)
• Walking - Occasionally within shift (1-33%)
• Sitting - Continuously within shift (67-100%)
• Bending/Stooping - Occasionally within shift (1-33%)
• Twist at waist - Occasionally within shift (1-33%)
• Lift/carry > 20 lbs with assistance - Occasionally within shift (1-33%)