Team Lead-Patient Accounts-3rd Party - Southcoast Health System : Job Details

Overview

Community Focused. Care Driven.

Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you'll be at the heart of it.

Southcoast Health is a not-for-profit, charitable, health system with multiple hospitals, clinics and facilities throughout Southeastern Massachusetts and Rhode Island.

Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home.

Find out for yourself why Southcoast Health has been voted 'Best Place to Work' for 7 years in a row!

We are searching for a talented Team Lead-Patient Accounts-3rd Party

* Position will follow a hybrid schedule*

A career at Southcoast Health offers you:

* A culture of well-being that embraces, respects, and celebrates the rich diversity of one another and the communities we serve

* Competitive pay and comprehensive benefits package

* Generous Earned Time Off Package

* Employee Wellbeing Program

* 403B Retirement Plan with company match

* Tuition assistance / Federal Loan Forgiveness programs

* Professional growth opportunities and customized leadership training

Available to regular status employees who are scheduled to work a minimum of 24 hours.

Southcoast Health is an Equal Opportunity Employer.

Compensation: Pay rate will be determined based on level of experience.

Responsibilities

Position reports to Manager, Patient Accounts-Third Party. Responsibilities include recommendations on employee activities including hiring, monitoring productivity, training, and disciplinary action decisions. Review websites, seminars, and/or online training to stay current with all regulatory and insurance requirements for Third-Party Payers. Ensure timely, compliant submission of all claims, review denials, and ensure claims follow up meets department requirements. Implement new procedures as needed. Maintain updated training manuals and tip sheets in shared drive. Review audit requests from payers. Meet with payer representatives on a regular basis. Work with IT and ancillary departments to improve revenue cycle performance, compile reports and provide data as needed to resolve issues.

Qualifications

* Associates degree or equivalent education and experience required.

* Minimum five (5) years experience in information systems within a financial environment required.

* Experience in a healthcare financial environment including knowledge medical terminology preferred experience using Excel and Word required.

* Third Party Billing experience with knowledge of EMR and familiarity with CPT/HCPCs/ICD9/APCs, modifiers.

* Familiarity with CMS compliance regulations, CCI edits, NCDs preferred.

* Must be fully vaccinated against seasonal Influenza and the COVID 19 virus or to be exempt from the requirement for medical or personal reasons by signing a statement certifying you are choosing to be exempt from vaccination once hired.

Pay Range

USD $54,038.00 - USD $90,834.00 /Yr.