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Payment Poster Lead in North Hollywood, CA at TeamHealth

Date Posted: 9/7/2018

Job Snapshot

Job Description

JOB DESCRIPTION OVERVIEW:

Under general supervision, Payment Posting Lead is responsible for distributing, communicating, and organizing workloads within the Payment Posting Department. In cooperation with the Supervisor, directs the day to day education of all employees on system processes. This position deals directly with employees to resolve work related issues, conduct audits, and monitors performance. The position works in a cooperative team environment to provide value to customers (internal or external). The Payment Posting Lead carries out his/her duties by adhering to the highest standards of ethical and moral conduct, and acts in the best interest of TeamHealth. This individual exercises independent judgment in key decision-making processes.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Responsible for distributing workload to the department and monitoring production.
  • Responsible for monitoring workloads and ensuring the Payment Posting Representatives complete their batches each day.
  • Responsible for training employees on department processes.
  • Responsible for daily production audits and quality check of posted payments.
  • Responsible for answering employee questions and resolving issues.
  • Responsible for recognizing and correcting quality issues and providing feedback on performance.
  • Responsible for all daily, weekly, and monthly reporting requirements including but not limited to the employee audit journals and daily production.
  • Works directly with management to continually improve the department processes and effectiveness.
  • Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.
  • Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
  • Demonstrates ongoing enthusiasm and commitment to the work assigned.
  • Researches and resolves payment issues with the central business office
  • Calls insurance companies to request EOB’s and other supporting documentation for incomplete batches.
  • May perform special assignments and other related tasks as assigned.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Normally, the knowledge, skills and abilities necessary for adequate job performance can be obtained through approximately three+ years’ experience with insurance denial and correspondence processes within a multi-facility environment.
  • In addition, working knowledge of insurance carriers’ payment regulations including various reimbursement schemes, coinsurance, deductibles and contractual adjustments is necessary as well as significant working knowledge of the insurance process, denials, appeals and insurance eligibility.
  • Advanced knowledge of Microsoft Excel.
  • Also, demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
  • Experience with providing visible participation and support of major change initiatives preferred.
  • Some college coursework in business administration or accounting preferred.
  • Some supervisor experience is helpful.
  • Knowledge of basic math and the ability to perform math functions in units of American currency.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
  • Ability to review documents for accuracy and reasonability.
  • Ability to determine priorities
  • Ability to coordinate schedules and information.
  • Ability to work well under pressure.
  • Tact and patience when dealing with individuals at all levels, both within and outside the company.
  • Commitment to TeamHealth values
  • Ability to communicate effectively orally, in person and on the telephone, and in writing, with individuals at all levels, both within and outside the company.
  • Knowledge of coordination of benefits requirements and processes.
  • Knowledge of health insurance correspondence denial processing.
  • Knowledge of insurance rejection/denial processing to perform follow up activity.
  • Ability to multi-task, set priorities and follow through without direct supervision.
  • Ability to type efficiently and accurately.
  • Ability to operate a computer (i.e., Microsoft Office - including Word and Excel) efficiently and accurately.
  • Ability to operate various office machines (i.e., fax, copier).
  • Ability to work well in a team environment and be flexible in problem solving environment.

PHYSICAL / ENVIRONMENTAL DEMANDS:

  • Have good attendance.
  • Work at a desk, utilizing a computer.
  • Communicate by telephone.
  • Operate a PC and other office equipment (copier, fax, etc.).
  • Move freely between offices
  • The work environment corresponds to the average office environment.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

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