PFS Team Lead - Billing

About the role

Responsible for monitoring all A/R staff activities to ensure accurate, complete and timely filing and follow-up. Works with payers to resolve repetitive issues regarding denials or contract compliance. Determines appropriate response or corrective action to denials, including assistance needed from other departments or staff; analyzes data collected and identifies opportunities to reduce denials and improve the revenue cycle. Reports trends to supervisor. Oversees training of all new employees in assigned area.

Responsibilities

• Monitor A/R staff activities for accuracy, completeness, and timeliness.
• Resolve repetitive issues with payers regarding denials or contract compliance.
• Determine appropriate responses or corrective actions for denials, involving other departments as necessary.
• Analyze data to identify opportunities to reduce denials and improve the revenue cycle.
• Report trends to supervisor.
• Oversee training of new employees in assigned areas.

Requirements

• High School graduate or equivalent.
• Minimum 6 months of demonstrated experience in billing and A/R management for all payors.
• Detail-oriented; ability to apply critical thinking and problem-solving skills.
• Independently handle complex issues with minimal supervisor.
• Prioritize, organize, and monitor multiple tasks.
• Communicate clearly and concisely, orally and in writing.
• Exercise sound judgment with established guidelines.
• Maintain cooperative working relationships with other departments.
• Use Microsoft Office in performance of duties and responsibilities.

Preferred Qualifications

• AAHAM Certification (preferred but not required).

Physical Demands

• Must possess good physical health.
• Requires standing, sitting, or walking for long periods of time.
• Lifts at least 20 pounds.

Employment

Each St. Tammany Health System staff member is expected to conduct themselves according to the organization's mission, vision, and values. Review these expectations before applying for employment.

Equal Opportunity Employer

St. Tammany Health System is an Equal Opportunity Employer. We are committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.