Insurance Pre-Certification Team Lead in Richmond, VA at Parallon

Date Posted: 9/7/2018

Job Snapshot

Job Description

Insurance Pre-Certification Team Lead – Richmond, VA – Full-Time
Parallon is an affiliate of Hospital Corporation of America (HCA Holdings, Inc.) and is a leading provider of healthcare business and operational services. Parallon supports healthcare providers in the area of revenue cycle (billing, collections, denial management), technology, patient registration, insurance verification and health information management.
The PTAC Central Unit Team Lead (PreCertification) is responsible for assisting the PTAC Central Unit Manager (PreCertification) in the areas of precertification/authorization, including coordination of staff activities and assisting in daily task performance for all assigned areas.
DUTIES (included but not limited to):
  • Assist with new hire and on-going training and communication for the PTAC Central Unit (PreCertification) staff.
  • Assist with performance evaluations for PTAC Central Unit (PreCertification) employees.
  • Perform verification of precertification/authorization in accordance with company standards and guidelines.
  • Document precertification/authorization verification within designated health information systems.
  • Contact the appropriate hospital, department and/or insurance company, to resolve issues regarding authorizations or precertifications.
  • Update Insurance Plans appropriately.
  • Utilize appropriate communication system to facilitate interaction with facility registration teams and other departments as required.
  • Meets with the PTAC Central Unit Manager (PreCertification) regularly to effectively communicate and resolve issues, set and prioritize goals, improve processes and review productivity.
  • Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards.
  • Assist PTAC Central Unit Manager (PreCertification) in maintaining established departmental policies and procedures, objectives, patient, and customer service policies.
  • Perform quality reviews as required by policy.
  • Maintain open and professional communication while acting in the capacity of a liaison between team members, facility staff members, and external departments.
  • Assist with payroll activities for team members (i.e., time cards)
  • Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
  • Other duties as assigned
  • Organization - proactively prioritizes needs and effectively manages resources.
  • Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
  • Interpersonal skills - able to work effectively with other employees, patients and external parties.
  • PC skills - demonstrates proficiency in Microsoft Office applications and other systems as required.
  • Leadership - guides individuals and groups towards desired outcome by providing training, advice and feedback to assist/support employees in achieving established performance standards.
  • Tactical execution - assist in monitoring operational processes and making recommendations for changes/adjustments as needed during the implementation or change to new products or processes.
  • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems.
  • Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.

Job Requirements

  • High School diploma or GED required
  • At least one year of related experience required
  • Supervisory experience preferred

We offer free parking, training support, competitive salary and excellent benefits to include several insurance package options for Medical, Dental and Vision; Paid Time Off for vacation, sick leave and holidays, Employer-paid Short Term Disability, Company matching 401K and more!

Parallon is an Equal Opportunity Employer (EOE), minority/ female/ veteran/ disabled, offering a great work environment, challenging career opportunities, and competitive compensation.