Mercyhealth Wisconsin and Illinois · 2 weeks ago
Team Lead, Insurance Billing
Janesville, WI
Full-time
Hybrid
Senior Level
5+ years expMercyhealth Wisconsin and Illinois is a healthcare organization that is seeking a Team Lead for their Patient Financial Services Follow-up department. The role involves collaborating with leadership to provide training, conduct performance audits, and ensure compliance with insurance follow-up processes while supporting partner development.
Health CareNon Profit
Responsibilities
Serves as A Subject Matter Expert-SME with regards to the insurance follow-up processes and the respective Patient Financial Services Follow-up role, maintaining an advanced knowledge of payor updates including Federal and State guidelines, department workflows and resources needed to resolve payor rejections and troubleshoot identified denial trends
Knowledgeable in the Single Billing Office for both Hospital Billing and Professional Billing environment within Epic
Conducts and manages all department workflow training for new hires to ensure the 90-day standards are successfully met
Escalates and follows-up with various Mercyhealth departments on any open and unresolved items to assure timely submissions on outstanding claims
Monitors and works interdepartmental communication work queues to help ensure timely follow-up and resolution to department along with patient open items
Investigates and works identified payor trends to help present a recommended resolution to improve payment outcomes
Develops written workflows and job aids to help provide additional resources to Follow-Up Representatives
Partners with the Revenue Cycle Training department to host shadowing sessions for new partner orientations to help aid in sharing general knowledge about the role and impact it has within the revenue cycle
Assists with the review and approval of department adjustment requests, ensuring appropriate follow-up was completed and correct adjustment codes were selected, providing partner feedback where applicable
Researches and provides ongoing partner education regarding regulatory compliance and requirements for claim submission
Ensures accurate and timely completion of daily tasks and projects
Works with the supervisor to develop and maintain individual and work group statistics that measure quality and productivity
Performs partner audits on a regular basis to ensure quality and accuracy of partner work product
When applicable, identifies and takes appropriate action to resolve problems to ensure that Mercyhealth obtains expected reimbursement. Brings workflow discrepancies to the attention of a supervisor or manager
Provides daily support to work group partners by being available to answer questions and gives direction on workload
On occasion, with the coordination of a supervisor, adjusts workload
In-depth knowledge of Revenue Cycle applications and websites
Serves as a backup to other leads within their team, assisting as needed
Special projects as assigned
Qualification
Required
High school diploma or equivalent required
Five years of healthcare experience required, with emphasis in billing, insurance, collections, registration, scheduling, or customer service
Epic billing or HFMA CRC certification or comparable certification
Preferred
Associates degree in a business or healthcare field preferred
Benefits
Comprehensive Benefits Package: Mercyhealth offers a retirement plan with competitive matching contribution, comprehensive medical, dental, and vision insurance options, life and disability coverage, access to flexible spending plans, and a variety of other discounted voluntary benefit options.
Competitive Compensation: Mercyhealth offers market competitive rates of pay and participates in various shift differential and special pay incentive programs.
Paid Time Off: Mercyhealth offers a generous paid time off plan, which increases with milestone anniversaries, to allow employees the opportunity for a great work-life balance.
Career Advancement: Mercyhealth offers a number of educational assistance programs and career ladders to support employees in their educational journey and advancement within Mercyhealth.
Employee Wellbeing: Mercyhealth has a focus on wellbeing for employees across the organization and offers a number of tools and resources, such as an employer-sponsored health risk assessment and a Wellbeing mobile application, to assist employees on their wellbeing journey.
Additional Benefits: Mercyhealth employees have access to our internal and external employee assistance programs, employee-only discount packages, paid parental and caregiver leaves, on-demand pay, special payment programs for patient services, and financial education to help with retirement planning.
Company
Mercyhealth Wisconsin and Illinois
At Mercyhealth, our doctors, nurses and staff are committed to making lives better for our patients and their families.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Nathan Schultz
Chief Technology Officer
Shawn David
Chief Technology Officer / Chief Security Officer IMS Technical Director
Company data provided by crunchbase