- Monitor Credits workflow, compile status and work - volume reports for Mgmt.
- Perform training with Credits team.
- Assist with development and maintenance of policy and procedures.
- Identify, trend and track process improvement opportunities within the Credits team and credits accounts or work queues/SmartFeeds.
- First pass for questions from credit representatives and clients and determine what outcome is needed.
- Work queue/SmartFeed Reconciliation - review of accounts that did not appropriately qualify for a work queue to determine root cause and resolve going forward.
- Review credit balances to determine root causes and recommend strategies to reduce credit/refund volumes.
- Serve as an expert resource to leadership in the decision-making process.
- Act as the Lead for special projects.
- Monitor, assign and confirm completion of incoming Credits email box.
- Perform Quality Audits and Super Audits and present audits to management per timeline schedule.
- Maintain a professional attitude.
- All other duties as directed.
- Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties.
- Understand and comply with Information Security and HIPAA policies and procedures at all times.
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties.
- High school diploma or equivalent required
- AR / Denials knowledge is a plus
- Knowledge of EMR systems preferred
- Knowledge of office management systems and procedures
- Knowledge of administrative procedures
- Knowledge of healthcare administration a plus
- Proficiency in MS Office applications such as Word, Excel, Power Point and Outlook
- Proficient in use of email and internet, accurate keyboard skills
- Strong organizational skills
- Strong written and verbal communication skills
- Ability to work independently and as a team
- Strong time management skills and the ability to prioritize work
- Attention to detail and accuracy
- Customer service oriented
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
- Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
- Work Environment: The noise level in the work environment is usually minimal.
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Team Lead, Credit Management - Neptune Twp, United States - Med-Metrix
Description
Job Type
Full-time
Description
Job Purpose
The Team Lead, Credit Management is Responsible for the activities and overall functions of Credit Balances and Credit Management staff.
Duties and Responsibilities
Qualifications