What are the responsibilities and job description for the Revenue Cycle Lead position at Health First Careers?
POSITION SUMMARY
The Revenue Cycle Team Lead is responsible for serving as a subject matter expert in
assisting both internal and external customers with account and payer specific related
items. This position entails being analytical and having the ability to strategically
recommend resolutions to trending issues. The Revenue Cycle Team Lead must possess
the mindset to independently solve problems and lead the team.
PRIMARY ACCOUNTABILITIES
1. Extensive knowledge of payer contract regulations and payment policies to ensure
proper reimbursement and for compliance purposes
2. Demonstrates Lean concepts in daily activities and is fully committed to the overall
success of the organization
3. Actively involved in conference calls/meetings and proactively follows up timely
with payer provider reps and necessary parties to assist with the resolution of
outstanding accounts/items and trending account issues
4. Responsible for education and training of new hires/transfers and assists with
continued training for existing team members; responsible for creating and
updating documentation of processes, procedures, and workflows
5. Responsible for providing timely and pertinent feedback to necessary parties, when
applicable
6. Proactively participates in activities that improve department operations and/or
support to the department for quality improvements
7. Identify system contractual issues and work with Patient Accounts
Analysts/applicable parties to implement appropriate tasks to bring AR closer to
true expected reimbursement
8. Actively participates in team meetings/discussions pertaining to follow-up processes, communicating, and presenting in a professional manner
9. Proactively and independently monitors and analyzes payer trends and reports this information to upper management along with suggesting possible resolutions
10.Works independently with other Revenue Cycle Specialist team members on various projects to meet organizational and departmental goals
11.Effectively and positively handles internal and external communication including face-to-face interactions, telephone calls, and e-mails Job Description Page 2 of 3
12.Consistently utilizes the Health First Connections model and serves as a positive mentor to other associates 13.Effectively perform the daily job duties of subordinate positions when needed
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities.
Work Experience
MINIMUM QUALIFICATIONS
Education: High School Diploma or GED
Licensure: None Required
Certification: None Required
Work Experience in Related Field:
o One (1) year experience in hospital business office environment or healthcare
professional business office environment.
Work Experience in Lieu of Degree: NA
Knowledge/Skills/Abilities:
o Microsoft Office – Outlook, Word, Excel, PowerPoint
o Demonstrated operational leadership skills.
o Excellent verbal, interpersonal and written communication skills
o Ability to actively guide team members to achieve outcomes with minimal
supervision
o Must consistently handle multiple tasks, often within limited time frames, including
assisting with outbound calls, emails, and account resolution as well as inquiry
research as business needs require.
o Strong analytical and critical thinking skills.
PREFERRED QUALIFICATIONS
Education: Bachelor’s degree
Licensure: NA
Certification: NA
Work Experience in Related Field:
o One (1) year experience in hospital business office environment or healthcare
professional business office environment.
o One (1) year experience in working in Health First Patient Accounting systems or
applicable practice management systems.
o One (1) year experience working in Health First PBS departments
Work Experience in Lieu of Degree: NA
Knowledge/Skills/Abilities:
o Microsoft Office – Outlook, Word, Excel, PowerPoint
o Demonstrated operational leadership skills.
o Excellent verbal, interpersonal and written communication skills
Ability to actively guide team members to achieve outcomes with minimal supervision Page 3 of 3 o Must consistently handle multiple tasks, often within limited time frames, including assisting with outbound calls, emails, and account resolution as well as inquiry research as business needs require. o Strong analytical and critical thinking skills. o Working knowledge of medical insurance to include Managed Care payers, Medicare and Medicaid regulations
Benefits
ABOUT HEALTH FIRST
At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.
