Farmington, Connecticut, USA
9 days ago
Accts Receivable Team Lead / PA Third Party Follow Up
Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the system Position SummaryResponsible for assisting the Accounts Receivable AR Follow UpDenials Supervisor in the day to day operations of the AR Follow Up Denials Specialist Level Level and Level Daily Operations consist of monitoring timely and accurate collection of third party payers resolving outstanding insurance claims across all Hartford HealthCare hospitals medical group and homecare Assuring the organization is complying with all federalstate guidelines keeps abreast of all regulations and standards to ensure compliance with governmentalregulatory agencies or third party payers responsible for Epic quality assurance to ensure high quality and cost effective products or services are deliveredResponsible for daily work queue inflow account activity assignment weekly aging and dashboard monitoring Provides leadership to the team regarding management of technical functions vendors and client relations through project management relationship building and internal department collaboration organizational awareness and input to Yearly Performance AppraisalsSMART Goals Supports the HHC core values strategic plan and established Patient Financial Services goals and objectives Position ResponsibilitiesKey Areas of Responsibility Responsible for assisting supervisor and team with timely realization of payment for approximately million in active inventory and million in denials assisting with the effective resolution of denials underpayments and credit balances These numbers will increase with new acquisitions Supports the supervisor witha Implementing and monitoring meaningful goals and objectivesb Tracking trends and resultsc Improving quality and productivityd Identifying opportunitiese Recommending and assisting to implement changesf Documenting and implementing policies and proceduresg Oversight and management of individual performance expectationsh Coaching and developingi Employee and professional developmentj Training opportunitiesk Vendor relationships and performance Provides input on decisions that affect workflows effecting timely resolution of insurance claims Provides support for other ad hoc analyses and projects as needed May contribute to the outcomes of the defined function by performing the work of the function as required minimal Effectively and continually communicates with staff management and customers to facilitate the flow of information Demonstrates HW Leadership Behaviors Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizationrsquos objectives Assumes responsibility for self improvement in collaboration with superior Maintain effective positive customer service ensuring the needs are met and educating staff on the importance of quality customer service Provides training support for colleagues Daily Huddle Leader Performs other duties as assigned Working RelationshipsThis Job Reports To AR Follow UpDenials SupervisorJob Titles of HHC positions reporting to this Job Assist AR Follow Up Supervisor and AR Collections Specialists in their efforts to review and resolve issues related to insurance claim denials no response claims and payment variances including underpayments and overpayments Provides ongoing support and training to AR Collections Specialists as needed Participates in the process of interviewing applicants and provides feedback to hiring manager Assists in the onboarding and training of new AR Collections SpecialistsNumber Direct Reports Number Indirect Reports If applicable describe nature of supervision of any External vendors contractors affiliate organizations etc Assist supervisor with the tracking and monitoring of accounts receivables engagements with small balance out of state Medicaid and credit vendors as neededWork where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the system Position SummaryResponsible for assisting the Accounts Receivable AR Follow UpDenials Supervisor in the day to day operations of the AR Follow Up Denials Specialist Level Level and Level Daily Operations consist of monitoring timely and accurate collection of third party payers resolving outstanding insurance claims across all Hartford HealthCare hospitals medical group and homecare Assuring the organization is complying with all federalstate guidelines keeps abreast of all regulations and standards to ensure compliance with governmentalregulatory agencies or third party payers responsible for Epic quality assurance to ensure high quality and cost effective products or services are deliveredResponsible for daily work queue inflow account activity assignment weekly aging and dashboard monitoring Provides leadership to the team regarding management of technical functions vendors and client relations through project management relationship building and internal department collaboration organizational awareness and input to Yearly Performance AppraisalsSMART Goals Supports the HHC core values strategic plan and established Patient Financial Services goals and objectives Position ResponsibilitiesKey Areas of Responsibility Responsible for assisting supervisor and team with timely realization of payment for approximately million in active inventory and million in denials assisting with the effective resolution of denials underpayments and credit balances These numbers will increase with new acquisitions Supports the supervisor witha Implementing and monitoring meaningful goals and objectivesb Tracking trends and resultsc Improving quality and productivityd Identifying opportunitiese Recommending and assisting to implement changesf Documenting and implementing policies and proceduresg Oversight and management of individual performance expectationsh Coaching and developingi Employee and professional developmentj Training opportunitiesk Vendor relationships and performance Provides input on decisions that affect workflows effecting timely resolution of insurance claims Provides support for other ad hoc analyses and projects as needed May contribute to the outcomes of the defined function by performing the work of the function as required minimal Effectively and continually communicates with staff management and customers to facilitate the flow of information Demonstrates HW Leadership Behaviors Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizationrsquos objectives Assumes responsibility for self improvement in collaboration with superior Maintain effective positive customer service ensuring the needs are met and educating staff on the importance of quality customer service Provides training support for colleagues Daily Huddle Leader Performs other duties as assigned Working RelationshipsThis Job Reports To AR Follow UpDenials SupervisorJob Titles of HHC positions reporting to this Job Assist AR Follow Up Supervisor and AR Collections Specialists in their efforts to review and resolve issues related to insurance claim denials no response claims and payment variances including underpayments and overpayments Provides ongoing support and training to AR Collections Specialists as needed Participates in the process of interviewing applicants and provides feedback to hiring manager Assists in the onboarding and training of new AR Collections SpecialistsNumber Direct Reports Number Indirect Reports If applicable describe nature of supervision of any External vendors contractors affiliate organizations etc Assist supervisor with the tracking and monitoring of accounts receivables engagements with small balance out of state Medicaid and credit vendors as neededRequirements and SpecificationsEducationmiddot Minimum High school diploma GED or equivalentmiddot Preferred Associatersquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experienceExperiencemiddot Minimum years medical billing andor accounts receivable in a facility or professional healthcare revenue cycle settingmiddot Preferredo yearrsquos medical billing andor accounts receivables experience in a facility or professional healthcare revenue cycle settingo years supervisory experience in a facility or professional medical billing andor accounts receivables settingLicensure Certification Registrationmiddot Preferred American Academy of Professional Coders AAPC or American Health Information Management Association AHIMA certificationKnowledge Skills and Ability Requirementsmiddot Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferredmiddot Excellent analytical and problem solving skillsmiddot Excellent communication skills both written and verbal and interpersonal skillsmiddot Knowledge of state and federal regulations as they pertain to billing processes and proceduresmiddot Knowledge of insurance claim processing and third party reimbursementmiddot Knowledge and detailed understanding of all negotiated agreementsmiddot Demonstrated leadership in establishing and achieving goalsmiddot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management and project managementmiddot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to apply appropriate supervisory management and leadership techniques in an operational settingmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and staffmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsmiddot Strong leadership skills and ability to motivate direct reports We take great care of careers With locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment Requirements and SpecificationsEducationmiddot Minimum High school diploma GED or equivalentmiddot Preferred Associatersquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experienceExperiencemiddot Minimum years medical billing andor accounts receivable in a facility or professional healthcare revenue cycle settingmiddot Preferredo yearrsquos medical billing andor accounts receivables experience in a facility or professional healthcare revenue cycle settingo years supervisory experience in a facility or professional medical billing andor accounts receivables settingLicensure Certification Registrationmiddot Preferred American Academy of Professional Coders AAPC or American Health Information Management Association AHIMA certificationKnowledge Skills and Ability Requirementsmiddot Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferredmiddot Excellent analytical and problem solving skillsmiddot Excellent communication skills both written and verbal and interpersonal skillsmiddot Knowledge of state and federal regulations as they pertain to billing processes and proceduresmiddot Knowledge of insurance claim processing and third party reimbursementmiddot Knowledge and detailed understanding of all negotiated agreementsmiddot Demonstrated leadership in establishing and achieving goalsmiddot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management and project managementmiddot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to apply appropriate supervisory management and leadership techniques in an operational settingmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and staffmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsmiddot Strong leadership skills and ability to motivate direct reports We take great care of careers With locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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