Job Description
Team Lead Eligibility Billing Representative
Job Category: Administrative
Requisition Number: TEAML023976
Full-Time
Locations: Remote USA – United States
Job Details
Description
- Responsible for training new hires/refresher trainings for current staff and providing feedback to management on staff proficiency.
- Review and provide feedback on training tools and documents to management which includes new billing system functionality.
- Respond and escalate as warranted any eligibility questions/concerns from the team to management.
- Serve as point for researching and completing required documentation on any payer identified by the team as not being the current payer database.
- Research and complete Hospice/New Payer forms follow up of completion of request, cleaning of transactions and provide notification to the team.
- Responsible for problem account/escalation issues (i.e. Payer portal changes, Payer name changes)
- Provide details on findings in an effort to educate the team.
- Determine correct payor access based on changes instituted at the payer level.
- Communication to the team regarding payer changes
- Perform monthly audits based on the audit guidelines TC staff only review accounts and determine additional training or actions needed for the team/staff member; document as required and escalate any concerns to management regarding performance.
- Assist in providing team member feedback for performance evaluation to management.
- Manage the daily fax queue folder to ensure that the documents are distributed to the appropriate team member in the RCM department or other departments as indicated in fax communication.
- Attend management meetings as deemed necessary.
- Address problems as they occur. Keep management advised of area or compliance issues which may lead to untimely or inaccurate completion of account data.
- Complete all reports according to schedule.
- Perform other tasks as assigned to support the goals of the team and organization.
- OTHER RESPONSIBILITIES:
- Supports FEP management team as required.
- SKILLS|EXPERIENCE:
- High school diploma
- Strong oral and written communication skills.
- Three years medical claims and/or insurance experience preferred.
- Proficient with computers and Microsoft Office.
Qualifications
Behaviors
Preferred
Leader: Inspires teammates to follow them
Dedicated: Devoted to a task or purpose with loyalty or integrity
Team Player: Works well as a member of a group
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Enthusiastic: Shows intense and eager enjoyment and interest
Motivations
Preferred
Goal Completion: Inspired to perform well by the completion of tasks
Self-Starter: Inspired to perform without outside help
Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
Experience
Preferred
3 years: Medical claims and/or insurance experience