• Job Description

  Req#: 57548
  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
  
  
  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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