Lead Coordinator, Revenue Cycle Management

Responsibilities

• Provides ongoing support to the team to ensure that day-to-day service and production goals are met.
• Aids management in monitoring associates’ goals and objectives daily; motivates and encourages associates to maximize performance.
• Provides ongoing feedback, recommendations, and training as appropriate.
• Aids supervisors in ensuring staff adherence to company policy and procedures.
• Aids supervisors in related personnel documentation as required, necessary, or appropriate.
• Acts as a subject matter expert in claims processing.
• Investigates insurance claims; properly resolves by follow-up & disposition.
• Led and managed invoicing projects, addressing complex issues and ensuring timely resolution to maintain optimal account receivables performance and client satisfaction.
• Solved complex invoicing complaints, including member call backs and agent co, to ensure timely and accurate reimbursement.
• Verified patient eligibility with secondary insurance company when necessary.
• Billed supplemental insurances including all Medicaid states on paper and online.
• Managed invoicing queue as assigned in the appropriate system.
• Investigated and updated the system with all information received from members.
• Ensured that all information given by representatives was accurate by cross referencing with the patient's account, followed by using honest judgment in any changes that may need to be made.
• Updated patient files for insurance information, Medicare status, and other changes as necessary or required as related to billing when necessary.
• Maintained accurate and detailed notes in the company system.
• Led the outsourced team, providing guidance, answering questions, and ensuring that the team delivered high-quality customer service related to patient invoicing.
• Served as the primary contact for outsourced team members, resolving any issues or concerns that arose in the invoicing process.
• Ensured that outsourced team members were trained in company policies, procedures, and systems related to invoicing and customer service.
• Monitored the performance of the outsourced team, providing feedback and support to help them achieve their goals and improve their skills.
• Collaborated with the outsourced team to identify and implement process improvements that enhanced efficiency and customer satisfaction.
• Adapted quickly to frequent process changes and improvements.
• Was reliable, engaged, and provided feedback to improve processes and policies.
• Attended all department, team, and company meetings as required.
• Appropriately routed incoming calls when necessary.
• Met company quality standards

Qualifications

• High School diploma or equivalent
• 3 years’ experience with insurance billing and processing claims preferred
• 3 years’ experience with Medicare claims, and Medicare and private insurance verification preferred
• Knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices
• Full knowledge all areas of collections specialization preferred
• Proficiency in basic math and business calculations
• Working knowledge of computer/data entry with the ability to learn new systems
• Basic level of MS Office proficiency

What is Expected of You and Others at This Level

• Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations.
• Proactive identification of challenges, and solution-oriented approach to problem-solving.
• Service-orientation and aptitude to resolve insurance and/or patient matters.
• Effective analytical skills: able to use inductive and deductive reasoning to anticipate outcomes.
• Self-directed accountability and reliability.
• Efficient communication, and interpersonal skills, with the ability to influence and collaborate effectively with cross-functional teams.
• Cross-trained on all collections processes.
• Able to resolve highly escalated collections issues or concerns.
• Able to mentor and train as needed.
• Able to manage and prioritize multiple tasks/projects, work autonomously, and meet deadlines.
• Able to work well in a team environment that promotes inclusiveness and communication among team members.
• Communication using both verbal and written English proficiency.
• Cultural competence.

Benefits

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs