Revenue Management Team Leader - REMOTE

at  Steward Health Care

This position is responsible for providing leadership and subject matter expertise in timely and accurate billing and re-billing, follow up on active accounts receivable, and/or the favorable resolution of denials and underpayments. The revenue cycle associate leads reports to the central business office manager and/or director.

REQUIRED KNOWLEDGE AND SKILLS

• 2 years minimum experience in hospital billing with specific payor(s) subject matter expertise.
• Demonstrated ability to supervise teams or groups of colleagues.
• Experience with patient accounting systems, billing/claim submission software required. Specific XClaim and/or Meditech experience a plus.
• Possess ability to investigate, analyze and in coordination with management, resolve departmental issues.
• Possess ability to work efficiently and accurately, and to organize and plan work.
• Possess flexibility and adaptability to work additional hours and to work under stress.
• Ability to establish and maintain effective working relationships and communicate clearly with customers both within and outside of Steward.
• Highly detail oriented and well organized; ability to multitask.

EDUCATION AND EXPERIENCE

• Education: Associate’s Degree required.
• Experience (Type & Length): At least 2 years’ related experience.
• Software/Hardware: MS Office suite.

• Independently manage and monitor daily work related to resolution of third-party payer accounts receivable follow-up, billing and re-billing and favorable resolution of denials and underpayments.
• Provide subject matter expertise regarding specific payors to revenue cycle associates and others throughout the CBO in accounts receivable follow-up, billing, denials and/or underpayments.
• Assist in supervising the daily operations of a payor or other operational team.
• Assist in the evaluation and recommendations of programs, procedures for improved operations, modifications to and/or implementation of new procedures.
• Identify and work with management to resolve problems in CBO processes and when appropriate, initiate changes to prevent future problems.
• Assist in establishing long and short term unit goals and objectives to support department and corporate strategic plan.
• Maintain professional competency, according to department policies, procedures and protocols.
• Maintain a repository of knowledge required to train new revenue cycle associates including manuals, tip sheets and other materials.
• Maintain strict confidentiality and adheres to all HIPAA guidelines/regulations.