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Revenue Cycle Team Leader | Revenue Cycle Team 8 - Neuro/NS/Psych | Days | Full-Time| Remote

Key Facts

Remote From: 
Full time
English

Other Skills

  • Quality Assurance
  • Microsoft Office
  • Decision Making
  • Communication
  • Analytical Skills
  • Supervision
  • Time Management
  • Teamwork
  • Coaching
  • Problem Solving

Roles & Responsibilities

  • Minimum of four years of experience in medical billing
  • Supervisory or team-lead experience preferred
  • Knowledge of medical procedure and diagnosis coding and medical terminology; Certified Professional Coder (CPC) certification preferred
  • Proficiency with PC/computer/databases and software such as Microsoft Office and medical management software; High School Diploma or GED with college coursework preferred

Requirements:

  • Supervise and coach staff; assign work, monitor performance, and ensure completion of mandatory training and education
  • Manage scheduling, workflow, and quality assurance; maintain production and accuracy statistics; develop operational improvement plans
  • Liaise with Business Groups, UF Health Managed Care, and payors to resolve collection, denial, and reimbursement issues; report trends to management
  • Assist the Manager with daily operations, performance reporting, audits of work queues, escalation of issues as needed, and support denial management and contract compliance

Job description

Overview:

The Revenue Cycle Team Leader 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. The Team Leader 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.

Responsibilities:

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.

 

Assist Manager with employee performance appraisals and

follow up with staff on completion of mandatory education

requirements.

 

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 noncompliance.

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.

Qualifications:
Experience
Requirements
 
Minimum of four years experience in medical billing field,
Supervisory experience preferred,
 
Knowledge of medical procedural coding, and diagnosis coding and medical terminology.
Certified Professional Coding Certification (CPC) preferred.
 
PC/Computer/Database experience.
 
Knowledge/experience with software applications such as Microsoft Office and medical
management software
 
Education High School Diploma or GED equivalent required,
College course work and/or vocational/technical training preferred and may substitute for
required experience
 
Additional Duties Additional duties as assigned may vary.
 
UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE

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