Patient Benefits Team Lead

Description

I) Job Purpose

The Patient Benefits Team Lead provides strategic leadership and supervision to a team of Patient Benefits Specialists, ensuring the seamless and accurate delivery of patient benefits coverage(s). The purpose of this position is to optimize the revenue cycle by overseeing the efficient and timely completion of client annual registrations, access to federal and state funded benefits for clients that qualify, collaborating with internal departments, and implementing best practices to mitigate errors and enhance overall financial performance. This position plays a vital role in maintaining compliance with industry regulations, fostering a culture of continuous improvement, and contributing to the organization's commitment to deliver high-quality patient care.

II) Essential Functions

A) Supervise and lead a team of Patient Benefits Specialists, providing guidance, coaching, and mentorship to enhance skills and performance while fostering a positive, collaborative environment.

B) Oversee patient benefits processes, ensuring accuracy, completeness, and compliance with industry regulations, including annual client registrations and access to federal and state funded benefit programs.

C) Manage staffing needs, authorize purchases within budget, complete payroll activities, and identify inefficiencies to improve client experience and service delivery.

D) Conduct regular audits, quality assessments, and provide constructive feedback to team members, ensuring adherence to standards and addressing performance deficiencies.

E) Develop and deliver training programs, including onboarding for new team members, and maintain up-to-date knowledge of Medicare, Medicaid, third-party payers, and Federal or State funded benefits programs.

F) Handle recruitment, job description updates, and annual performance evaluations for team members and the Operations Manager.

G) Serve as the primary point of contact between the patient benefits team and other departments, communicating effectively with internal and external stakeholders while maintaining confidentiality and demonstrating excellent customer service.

H) Establish and monitor key performance indicators, analyze data trends, and identify opportunities for process improvement and efficiency gains.

I) Promptly report any issues related to performance deficiencies, documentation inaccuracies, or potential billing service compromises to the Operations Manager or Patient Benefits Support Administrator.

J) Attend required meetings, including weekly updates with the Operations Manager, to discuss program progress and challenges.

K) Performance standards are performed as applicable with MHMR's We CARE values "We Connect People in Our Community. We Provide Access to Services. We Link People to Resources. We Empower People."

L) Performs other job duties or responsibilities as requested or assigned.

III) Knowledge of Laws, Regulations, Policies / Procedures, Skills, and Abilities

A) Advanced language skills (both written and verbal)

B) Effective interpersonal skills

C) Working knowledge of MHMRTC services and area resources for individuals with disabilities.

D) Required computer skills include data entry in approved agency computer systems, documents in Microsoft Word, and the use of e-mail.

E) Ability to comply with agency dress code standards.

IV) Internal & External Customer Service

A) This position requires extensive internal and external contacts. The employee will accomplish this with advanced written and verbal skills.

B) Must demonstrate compassion, trauma-informed care, and safety practices including suicide safe care.

V) Travel

A) Adhere to MHMR Mileage and Travel reimbursement policy and any other aspect regarding travel.

VI) Equipment Used

A) Utilized as required for position.

Minimum Requirements

VII) Minimum Qualifications

A) Minimum Education : High School Diploma / GED

B) Defined Education : None

C) Preferences : Bachelor's Degree in Health or Human Services, Business, or Finance.

D) Substitutions : Bachelor's Degree in Health or Human Services, Business, or Finance and no prior experience

E) Years' Experience : Five (5) years

F) Defined Experience : Health and Human Services, Finance, Healthcare, Consumer Benefits

G) License / Certifications : Valid Texas Driver's License

H) Special Courses : None

I) Supervisory Experience : None

VIII) Agency Requirements

A) All staff are required to participate in agency Emergency Preparedness and Environmental Safety programs and may be assigned by their department as a key / essential staff level function during critical events or for the purpose of sustaining business continuity.

B) This position may require temporary or permanent re-assignment to any MHMR Tarrant facility as determined by program needs and / or the Division / Director.

C) Assigned work hours may change as the needs of the agency change.

D) The Functional Title of this position may change as the needs of the agency change.

E) All work will be completed within the scheduled work hours. All non-exempt (hourly) employees are expected to clock in and clock out for each work shift, no work should be done off the clock.

F) MHMR reserves the right to change, add to or eliminate positions as it deems appropriate.

G) Employment is at will, as well as agency needs may change.

H) Agency dress code is to be followed at all times.

I) Physical on-site presence, including regular attendance and punctuality, is an essential function of this position. Any changes or adjustments to your assigned work schedule or shift hours must be approved by your supervisor in advance.

Lifting 25-50

Our Benefits :

Our total rewards program offers benefits

• to full time employees beginning 1st of the month following hire date including but not limited to :
• Comprehensive healthcare options (Medical, Dental, and Vision)
• Life insurance and additional supplemental accident and hospitalization plans
• 401a match and 457 deferred compensation plans
• Paid vacation and holidays; varied flexible work environment locations
• Annual tuition reimbursement program
• Student Loan Forgiveness
• Professional development programs and training
• And more.....

Insurance eligibility :

For more information, click

Additional Information