What are the responsibilities and job description for the Business Office Team Leader position at Cancer Partners of Nebraska?
General Summary of Duties : The Business Office Team Leader is responsible for overseeing a team of specialists by managing daily operations, ensuring accurate billing and timely collections, monitoring performance metrics, maintaining Unlimited Financial accuracy, and providing leadership that aligns with company goals.
Essential Duties and Responsibilities :
Team Leadership
Lead and monitor a team of revenue cycle staff including insurance verifiers, charge specialists, pre-authorization specialists, and accounts receivable specialists.
Assign tasks, monitor workloads, and address performance issues.
Conduct regular team meetings to discuss goals, challenges, and performance updates.
Provide coaching and training to team members on billing guidelines, coding updates, and compliance requirements.
Patient Account Management
Review patient demographics and insurance verification to ensure accuracy.
Monitor outstanding patient balances and work with patients on payment plans or collections efforts.
Address patient inquiries and concerns related to billing and payment.
Daily Task Completion
Conduct initiating daily task of preauthorization coordination for Radiation Oncology
Demonstrates the ability to conduct daily charge review for assigned CPN service line
Ensures billing completion by monitoring all unsigned charges
Monitors timely submission of all claims and charges
Operational Oversight
Identify areas for improvement and implement process changes to optimize revenue cycle performance.
Ensure compliance with all healthcare billing regulations and industry standards.
Analyze billing data to identify trends and potential issues, taking corrective actions as needed.
Payer Relations
Collaborate with payers to resolve billing disputes and denials.
Reporting and Analysis
Identify trends and opportunities for improvement based on data analysis.
Analyze denial trends and implement strategies to reduce denial rates.
Education and Training :
High School Education, bachelor's degree preferred
Medical office / Coding / Insurance or Case Management training or equivalent experience preferred
Clinical / nursing education or equivalent experience preferred
Experience :
Minimum of two years' experience working in a medical office with billing and / or prior authorization, or an equivalent combination of education and / or experience
Knowledge, Skills and Abilities
Communication - communicates clearly and concisely, both verbally and in writing, use active listening skills, ability to handle a large volume of incoming and outgoing calls
Customer oriented - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding customer / provider and referring facilities expectations.
Interpersonal skills - ability to work effectively with other employees, patients and external parties. Must be able to work independently as well in a team environment.
Computer skills - demonstrates proficiency in PC applications as required. must be able to multi-task.
Schedule :
Day shift
Monday to Friday
No nights or weekends
Working Conditions :
Requires sitting and standing associated with normal office environment
Work load : consistent with unscheduled calls and requests to coordinate with co-workers
Requires close visual acuity including viewing computer terminal. Extensive reading and reviewing of paperwork
Requires spending large amounts of time talking on the telephone
Must be able to receive and interpret oral communications accurately to draw valid conclusion regarding insurance coverage and patient financial situations
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