Catholic Health · 1 day ago
PFS Team Lead
Catholic Health is one of Long Island’s finest health and human services agencies, committed to providing compassionate care to the community. The PFS Team Lead will support the Supervisor and staff by conducting quality reviews, identifying training needs, and managing high-dollar accounts.
Health Care
Responsibilities
Identify staff training needs and assist with delivery of various training programs
Notify Supervisor of existing policies and procedures that require updating and new processes that require documentation and implementation
Create, update, and preparing reports and spreadsheets for assigned payers
Transfer accounts in workstation as needed for alternative follow up measures
Evaluate and resolve high dollar accounts timely to prevent financial losses. Escalate payer issues as appropriate
Identify and communicate root causes for failed bills/ claims. Assist the Supervisor to resolve systemic and operational issues
Address and/ or resolve credit balances as assigned according to department policy
Review and approve staff recommendations for write off, in accordance with the Departmental policy
Meet and/ or exceed weekly productivity and quality standards for assigned worklists/ work queues
Conduct quality reviews for staff in accordance with Departmental policy
Qualification
Required
High School diploma or equivalent required
2 +years' experience in Hospital insurance billing and/ or follow up, knowledge of third party insurance in regards to plan types (HMO/PPO/POS and Indemnity) including payment posting, required
Strong data entry skills; ability to input and compile high volume of information
Proficient 10 key skills, subject to testing
Attention to detail – ability to maintain speed while upholding accuracy
Ability to perform analysis and discuss with Supervisor/ Manager
Proficient in Microsoft Office: Word and Excel, subject to testing
Preferred
Knowledge of CPT, ICD-9 or medical terminology preferred
Benefits
Generous benefits packages
Generous tuition assistance
A defined benefit pension plan
A culture that supports professional and educational growth
Company
Catholic Health
When it comes to health care, Long Islanders have a choice.
H1B Sponsorship
Catholic Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2020 (1)
Funding
Current Stage
Late StageRecent News
Company data provided by crunchbase