Team Leader of Patient Accounting (Physician Billing)

Arlington, Virginia, United States
USD 5,000.00
16 Sep 2020
17 Sep 2020
Job role
  • Job Summary
    • Using data analysis, spreadsheet, and presentation skills, researches, analyzes, documents, and reports financial, practice and regulatory data in revenue analysis and insurance payment trend projects. Identifies and communicates opportunities to maximize and increase revenue retrieval for a portion of approximately one billion dollars of annual accounts receivable. Under general Supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on highly complicated invoices with an invoice balance = $5000 excluding those invoices in the Direct Contract assignment category. Leads and coordinates the activities of an assigned payer team responsible for billing, collection, cash posting and follow-up functions. Supports day to day functioning of department by providing in depth understanding of the physician practice revenue cycle, of today's intricate and complex health care market and of all regulatory and compliance issues involved, and excellent technical knowledge of and proficiency with the computer system in use and MPBS's operational processes.
  • Minimum Qualifications
    • Education/Training
      • High School Diploma or equivalent. Associate's or Bachelor's Degree preferred. Consideration will be given to an appropriate combination of education/training and experience.
    • Experience
      • 6 years of progressively responsible experience in hospital/physician patient accounts or equivalent experience. Experience and proficiency using an automated billing system, GE IDX and ETM experience preferred.
    • License/Certification/Registration
      • No special certification, registration or license required.
    • Knowledge, Skills & Abilities
      • Effective negotiating skills, to include ability to resolve complex billing and collection situations with individual patients or third party payers. Proactive problem solving skills. Ability to interpret data and related information, and discern trends and tendencies, and determine appropriate course of action. Ability to work as part of team, set goals, prioritizes work and coordinates execution of work. Ability to lead, monitors daily activities, evaluate, train and motivate performance of team members. Effective verbal and written communication skills. Knowledge of IDX and ETM, basic operation of hardware and work processing and spreadsheet packages, Microsoft preferred. Knowledge of relevant billing and collection laws and regulations, hospital protocols. Knowledge of third party claims and diagnostic coding, to include ICD 9/10 and CPT coding, CPC certification helpful. Proficiency with Microsoft office application -- particularly Excel. Report production and presentation skills. Excellent interpersonal skills. Highly developed customer service skills
  • Primary Duties and Responsibilities
    • Actively and continuously improves work processes for self and team. Uses continuous improvement tools and methods to improve individual, team and cross departmental performance. Bases improvements on customer requirements, data, root-cause analysis and outcomes.
    • Assists Supervisor, Director, and/or Accounts Receivable Manager in planning, coordinating and direction of daily work activities for self and assigned staff. Assists with the counseling and evaluations of assigned staff.
    • Assists with development of in service training materials and presentation for team development. Works with Supervisor and Accounts Receivable Manager in establishing standards of quality and productivity.
    • Attends follow up related and other meetings with or as representative of Supervisor, Director, or Accounts Receivable Manager, as requested, and communicates information, as appropriate.
    • Communicates requests and project status to appropriate parties on a regular and timely basis. Identifies and reports on project issues to be worked based upon research and analysis.
    • Coordinates/tracks/follows up on all problem invoices, high dollars and old outstanding A/R noting trends and offering recommendations.
    • Designs and maintains reports as requested - in areas of, but not limited to payer reimbursement, payer denial and coding trends.
    • Develops and maintains working relationship with Managed Care Office, Office of Compliance and Reimbursement and third party insurance companies for purpose of researching, identifying and achieving goals and to contributing maximization of insurance related payments.
    • In absence of Supervisor, and as requested, assumes responsibilities needed to ensure provision of essential services to ensure maximum reimbursement and productivity.
    • Meets the Performance ETM Production quota set at 75% of the established quota.
    • Monitors, follows up on and communicates findings concerning implementations of new or modified policies and procedures, as assigned.
    • Participates in educational/professional development activities. Exemplifies Guest and Staff Relations standards in all activities in areas of service, resource utilization, high quality outcomes and effective communication.
    • Researches and follows up on Customer Service inquiries by ensuring that assigned staff members are responding in a timely and accurate fashion.
    • Researches, analyzes, and documents financial, practice and regulatory data and/or reports including, but not limited to, revenue analysis projects, insurance payment trends - involving account research, compilation and presentation of findings with corresponding recommendations.
    • Responds to and resolves routine problems and requests from hospital departments, MPBS management and team.
    • Reviews and approves documentation submitted for adjustment, payment posting, charge correction and coding as instructed by Supervisor, Manager, or Director.
    • Reviews and monitors work quantity and quality, recommends the allocation of resources helping to ensure departmental collection targets are met or exceeded.
    • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
    • Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.
    • Performs other duties as assigned.

About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.","datePosted":"2020-02-16T02:50:29.548Z