Business Group | Team 9 - Radiology | Days

Overview

JOB DUTIES

Team Lead is responsible for managing and developing their team while assisting Manager in problem solving, resolution of collection issues, recognition and reporting of reimbursement trends, and daily operations of department/division. Team Lead serves as the liaison between Business Groups, UF Health Managed Care and contracted entities for the purpose of resolving individual and trended issues. Applies strong analytical skills with knowledge of managed care and billing concepts to facilitate revenue capture.

Essential Functions

• Supervise new employees in a supportive environment with an emphasis on coaching and training. Provide and monitor work assignments to resolve issues and increase revenue through collections. Manage and control scheduling of individuals to ensure a smooth workflow.
• Establish and implement quality assurance processes. Maintain statistics for production and accuracy. Monitor staff activities to ensure that department goals are met. Develop and submit plans for operational improvement. Aid manager in planning and organization of workflow.
• Work with staff and employ appropriate decision making to seek resolution to problems/issues/trends. Encourage staff feedback regarding suggested improvements and new ideas.
• Provide the Manager with feedback regarding collection issues, reimbursement trends, personnel issues, and operational issues within internal and external departments. Seek guidance from Manager with questions in regards to issues, reimbursement trends, personnel issues, or general day-to-day operations issues that cannot be resolved at the Team Lead level. Inform Manager on the status of work and alert Manager of backlogs, trends or issue requiring immediate attention.
• Provide effective communications with staff regarding changes or updates to be implemented within the department. Solicit and document feedback from employees on improvements and development of new ideas based on current work flow.
• Perform scheduled audits of wqs and communicate statistics for production and accuracy for the purpose of educational feedback and performance evaluations for each employee quarterly.
• Participate in special projects and perform other duties as assigned by Manager. Work with Department Manager and Managed Care Contract Manager to resolve global payment issues as identified. Communicate with Payor designated representatives regarding disposition of open balances, denial issues, contract variances and root cause analysis.
• Research trends identified to differentiate between UF internal billing practice educational needs or Payor non-compliance.
• Facilitate and support Analysts when issues between Business Group and Payor for designated carriers arise. Aid in addressing denial management and contract compliance issues while emphasis on sound decision making skills and judgment determining when escalation to Manager and/or Director involvement is required.
• Assist Manager with employee performance appraisals and follow up with staff on completion of mandatory education requirements.
  
  

Temperament

Adhere to company policies and procedures, demonstrate the core values and Hospitality behaviors, resolve conflict through open, honest, professional communication, demonstrate positive and enthusiastic attitude, keep supervisor and leadership apprised of issues, and seek opportunities to recognize others.

Responsibilities

SKILLS, QUALIFICATIONS, AND REQUIRED EXPERIENCE

Skills, Knowledge, Abilities

• Strong analytical and problem solving skills.
• Excellent oral, written, interpersonal and communication skills.
• Ability to supervise and work independently.
• Knowledge of Payor Contracts and negotiated reimbursement.
• High level of decision making ability with outstanding organizational skills.
• Make decisions independently with minimal supervision, self-motivated and goal oriented.
• Ability to manage time effectively and meet deadlines imposed by either internal and/or external requirements (claim filing, reports, contract compliance).
• Website navigation required.
• Ability to read multiple formats of Payor Remittance Advice; provide explanation of Benefits and Overpayment Remittance Advice.
• Proficient in Epic Medical Management System.
• Knowledge procedural and diagnosis Coding and Medical Terminology of most current versions.
  
  

Qualifications

Experience Requirements

Length of Experience

Type of Experience

Required/Preferred

3 years

Health care experience in medical billing/payor claims processing

Required

3 years

Medical Billing software

Required

3 years

supervisory /leadership experience

Preferred

3 years

Experience with Windows applications; proficient with Word and Excel

Required

Education Requirements

Degree/Diploma Obtained

Program of Study

Required/Preferred

High School Diploma or GED equivalent

Required

Associates

Preferred

Additional Details:

Certification/Licensure Requirements

Certification/Licensure

Required/Preferred

Qualifier

Certified Professional Coder (CPC)

Preferred

UF JPI IS AN EQUAL OPPORTUNITY EMPLOYER