RCM Application Management Support Team Lead

Tasks And Responsibilities

• Provide exceptional customer service to internal and external customers.
• Interact with customers in a professional manner; help foster teamwork to complete designated tasks.
• Schedule and organize work assignments.
• Prioritize and delegate job tasks to ensure timely completion.
• Ensure work is performed accurately and efficiently.
• Implement policies and procedures to maintain workflow standards.
• Cookordinate, schedule and facilitate training for staff.
• Perform random and focused audits of staff’s work product to validate and verify data entry accuracy and scope of understanding.
• Provide technical assistance and support in adherence to established processes for incoming inquiries and issues as well as QA/Audit processes related to healthcare RCM application.
• Maintain RCM application support table configurations; primarily moderate/high complexity in nature.
• Maintain integrity and ongoing quality control of RCM configurations and reporting.
• Assess, diagnose and resolve problems related to RCM application in a timely manner.
• Execute system and configuration related QA queries, analyze query results, identify errors, take corrective actions.
• Coach Internal customers on proper problem-solving process as appropriate.
• Make recommendations for changes to enhance system and/or process efficiencies.
• Develop and implement processes to validate, monitor and track electronic file formats and transfers (837P, 835, Electronic Invoicing, etc).
• Provide support for operational process changes within RCM.
• Properly escalate unresolved inquiries and requests to next level support in a timely manner.
• Lead and/or participate in software release testing; acting as primary resource to billing teams.
• Manage, submit, and track both internal and interdisciplinary enhancement requests.
• Create and/or maintain standard operating procedures (SOPs) in support of RCM configuration requirements and other responsibilities.
• Exceed and/or maintain standards as set forth by departmental service level agreements (SLAs) and company policies to achieve best practice workflow standards.
• Lead and/or participate in internal billing/operational/IT initiatives.

Skills & Experience/Knowledge

• Experience with healthcare RCM Application configurations; TELCOR RCM a plus.
• Understanding of healthcare claim and invoice processing; long term care experience a plus.
• Analytical skills in the areas of registration, claim processing, billing and reimbursement as affected by various data systems.
• Experience with claims clearinghouses preferred but not required.
• Demonstrate ability to convey complex ideas in an easily understood manner to guide audience through written or verbal communications.
• Excellent customer service skills.
• Demonstrate initiative with the ability to work independently.
• Excellent attention to detail.
• Able to prioritize, organize, troubleshoot, and problem solve.
• Able to lead and motivate staff (centralized and/or remote).
• Proficient with revenue cycle systems and master table setup and maintenance.
• Proficient with Microsoft Office; strong Excel skills a must.
• SQL experience recommended but not required.

Education

• Minimum five (5) years analytic, technical, and reporting experience with health care data; seven (7) years experience preferred.