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
