UF Health

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


PayCompetitive
LocationJacksonville/Oregon
Employment typeFull-Time
  • Job Description

      Req#: 58016
      Overview

      **CPC Preferred**

      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

      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

      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.

  • About the company

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