ONE CALL RESOLUTION TEAM LEAD

About the role

The One Call Resolution Team Lead (OCRTL) supports the PHP mission, vision, and values through resolution of the patient's account balance and coordinating pre-service activities, in accordance with PHP policies and various regulatory compliance rules.

Responsibilities

• Supports the fiscal responsibility with other Revenue Cycle Departments to complete timely financial clearance on accounts, collect on accounts, reduce bad debt, advise, and subsequently obtain required information to process applications for all available financial assistance programs, including evaluating patient's eligibility for Medicaid, state and hospital-sponsored charity care programs and other available funding sources.
• Assesses and determines a plan for resolution including following cash management techniques when collecting money.
• Serves as gatekeeper for managed care contracts serving as a liaison between the insurance companies and the Managed Care Department.
• Understands the hospital's financial and discounting policies by using critical thinking to provide guidance to reach the best resolution based upon the patient's situation.
• Serves as a point of contact for any patient escalations that arise during the pre-services process including but not limited to scheduling for services, providing estimates, and or addressing patient complaints.
• Communicate via phone, MyChart, email, and in writing with patients and payers to obtain any information necessary to ensure payment of services.
• Travel to and work from any Premier site outside of their hired location based on staffing and patient needs to perform each of these responsibilities.
• Collaborate with other departments within the hospital and outside eligibility vendors as necessary.
• Use financial systems to document data and conduct procedures to assist the patient in filing for Medicaid and/or other public assistance programs.
• Maintain departmental work queues ensuring accounts are worked efficiently for pre-services, conduct training, and provide mentoring to staff.

Requirements

• Must reside within 50 miles of the office.
• Minimum 3-5 years of job-related experience.
• Experience working with the public is preferred.
• Must be proficient with Windows-based computer technology, including keyboarding.
• Medical terminology and coding knowledge preferred.
• Must be proficient in Windows-based computer technology, including keyboarding and typing at least 30 wpm.

Qualifications

• High School completion / GED.
• Associates Degree preferred in related field.

Skills

• Able to perform a variety of tasks, often changing assignments on short notice.
• Adept at multi-tasking.
• Adept with machinery typically found in a business office environment.
• Possesses mathematical aptitude to make contractual calculations and estimate patient financial obligations to achieve financial clearance.
• Able to build productive relationships with all contacts.