What are the responsibilities and job description for the Revenue Cycle Team Leader | Revenue Cycle Team 1 - Pediatrics | Days | Full-Time position at UF Health?
Overview
Responsibilities
Qualifications
Summary:
The Revenue Cycle Team Leader is responsible for managing and developing their team while assisting Manager in problem solving, resolution of collection issues, recognition and reporting of reimbursement trends, and daily operations of department/division. The Team Leader serves as the liaison between Business Groups, UF Health Managed Care and contracted entities for the purpose of resolving individual and trended issues. Applies strong analytical skills with
knowledge of managed care and billing concepts to facilitate revenue capture.
Responsibilities
Responsibilities:
- Supervise new employees in a supportive environment with anemphasis on coaching and training. Provide and monitor workassignments to resolve issues and increase revenue throughcollections. Manage and control scheduling of individuals to ensure asmooth workflow.
- Assist Manager with employee performance appraisals and follow up withstaff on completion of mandatory education requirements.
- Establish and implement quality assurance processes. Maintainstatistics for production and accuracy. Monitor staff activities to ensurethat department goals are met. Develop and submit plans foroperational improvement. Aid manager in planning and organization ofworkflow.
- Work with staff and employ appropriate decision making to seekresolution to problems/issues/trends. Encourage staff feedback regardingsuggested improvements and new ideas.
- Provide the Manager with feedback regarding collection issues,reimbursement trends, personnel issues, and operational issues withininternal and external departments. Seek guidance from Manager withquestions in regards to issues, reimbursement trends, personnelissues, or general day-to-day operations issues that cannot beresolved at the Team Lead level. Inform Manager on the status of workand alert Manager of backlogs, trends or issue requiring immediateattention.
- Provide effective communications with staff regarding changes orupdates to be implemented within the department. Solicit and documentfeedback from employees on improvements and development of newideas based on current work flow.
- Perform scheduled audits of WQS and communicate statistics forproduction and accuracy for the purpose of educational feedback andperformance evaluations for each employee quarterly.
- Participate in special projects and perform other duties as assigned byManager. Work with Department Manager and Managed Care ContractManager to resolve global payment issues as identified. Communicate withPayor designated representatives regarding disposition of open balances,denial issues, contract variances and root cause analysis.
- Research trends identified to differentiate between UF internal billingpractice educational needs or Payor non- compliance.
- Facilitate and support Analysts when issues between Business Groupand Payor for designated carriers arise. Aid in addressing denialmanagement and contract compliance issues while emphasis on sounddecision making skills and judgment determining when escalation toManager and/or Director involvement is required.
Qualifications
Qualifications:
- Experience Requirements:
- Minimum of 4-years’ experience in medical billing field – Required
- Supervisory experience – Preferred
- Knowledge of medical procedural coding, and diagnosis coding and medical terminology – Required
- Certified Professional Coding Certification (CPC) – Preferred
- PC/Computer/Database experience.
- Knowledge/experience with software applications such as Microsoft Office and medical managementsoftware.
- Education:
- High School Diploma or GED equivalent - required
- College course work and/or vocational/technical training preferred and may substitute for required experience
- Additional Duties:
- Additional duties as assigned may vary.
UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.