Revenue Cycle Team Leader - RCO PB Follow-Up (Hybrid Remote | Galveston)

EDUCATION & EXPERIENCE:

Minimum Qualifications:

• Associate’s degree or equivalent and minimum of five years patient accounts experience.
• Minimum of two years Epic Revenue Cycle experience.

Preferred Qualifications:

• 3+ years of experience in Professional claims billing, follow up and denials.
• Payer Knowledge: Strong understanding of Medicare and/or Medicaid claim guidelines.
• Payer Portals: Experience utilizing insurance web portals to verify claim status, access provider manuals, and review reimbursement methodologies.

JOB SUMMARY:

As a Team Leader, the employee will provide supervisory, administrative and communication support to staff assigned.

ESSENTIAL JOB FUNCTIONS:

• The Team Leader is expected to function as a member of the team with regard to routine assignments while also performing special assignments and other duties as requested.
• Possesses ability to perform any task within team.
• The Team Leaders is responsible for acting as a resource for information to all team members as well as inquires from other areas.
• Responsible for escalating issues related to process improvements or other issues.
• Assists supervisor with reporting and testing, including productivity reporting and system testing.
• Meets or exceeds QA and Productivity requirements
• Quality Assurance should be conducted on a routine basis with feedback and documentation given to the supervisor.
• Based on QA of new employees, makes a recommendation to supervisor as to when new employee is ready to work independently.
• Provide training to new team members as well as refresher training to existing team members as necessary.
• Assists supervisor with the development of policies and procedures, including team procedure manual.
• On occasion the Team Leader will be required to attend meetings either with or on behalf of the supervisor. It is expected the Team Leader would represent the department professionally, participate in discussion and be well prepared regarding the topic.
• In the event of the supervisor’s absence, the Team Leader may be asked to provide supervisory support.
• Special assignments as requested.
• Represents the department and the University in a professional manner at all times. This will involve detailed and professional verbal and written communication with physicians, patients, administration and other management personnel, in a timely manner.
• Interacts with UTMB administration when questions or issues arise.
• Practices effective time management and always demonstrates acceptable productivity and meets department account accuracy standards.
• Successfully completes departmental training courses and annual refresher courses.
• Strict compliance with regard to written policies and procedures for UTMB as well as RCM and adherence to all required standards and deadlines.
• Authorizes physician charges and approves journal vouchers within specified limits.

WORKING ENVIRONMENT/EQUIPMENT:

• Standard office environment and equipment.

SALARY RANGE:

Actual salary commensurate with experience.

WORK SCHEDULE:

Hybrid position (mostly remote / expected in office at least every other week), 8 hour shifts, Monday through Friday.

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.