Description

Job Purpose

The Team Lead, Credit Management is Responsible for the activities and overall functions of Credit Balances and Credit Management staff.

Duties and Responsibilities

• Monitor Credits workflow, compile status and work – volume reports for Mgmt. 
• Perform training with Credits team.
• Assist with development and maintenance of policy and procedures. 
• Identify, trend and track process improvement opportunities within the Credits team and credits accounts or work queues/SmartFeeds.
• First pass for questions from credit representatives and clients and determine what outcome is needed.
• Work queue/SmartFeed Reconciliation – review of accounts that did not appropriately qualify for a work queue to determine root cause and resolve going forward.
• Review credit balances to determine root causes and recommend strategies to reduce credit/refund volumes.
• Serve as an expert resource to leadership in the decision-making process. 
• Act as the Lead for special projects.
• Monitor, assign and confirm completion of incoming Credits email box.
• Perform Quality Audits and Super Audits and present audits to management per timeline schedule.
• Maintain a professional attitude. 
• All other duties as directed.
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties.
• Understand and comply with Information Security and HIPAA policies and procedures at all times.
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties.

Requirements

Qualifications

• High school diploma or equivalent required
• AR / Denials knowledge is a plus
• Knowledge of EMR systems preferred
• Knowledge of office management systems and procedures
• Knowledge of administrative procedures
• Knowledge of healthcare administration a plus
• Proficiency in MS Office applications such as Word, Excel, Power Point and Outlook
• Proficient in use of email and internet, accurate keyboard skills
• Strong organizational skills
• Strong written and verbal communication skills
• Ability to work independently and as a team
• Strong time management skills and the ability to prioritize work
• Attention to detail and accuracy
• Customer service oriented

Working Conditions

• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.