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Operations Team Lead in Glastonbury at Parallon

Date Posted: 4/11/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Glastonbury
  • Job Type:
  • Experience:
    At least 3 year(s)
  • Date Posted:
    4/11/2019

Job Description

Do you have a background in Workers Compensation or Motor Vehicle Claims? Do you possess exceptional leadership skills?  

Parallon is now seeking a Team Lead, Workers Compensation & Motor Vehicle.  Now is the time for you to join a team of motivated individuals working to resolve patient accounts on behalf of our hospitals. Ideal candidates will have strong problem solving, coaching, development skills, and a background in healthcare insurance claims.  You should also share a passion for our purpose: "To serve and enable those who care for and improve human life in their community."  
 
Sound like you?  Apply today.  Need more reasons to apply? See what makes us exceptional place to work! 
 

 

     
Or find us on Facebook - https://www.facebook.com/ParallonRCSJobs.
 
WHAT CAN WE OFFER YOU? 
  • Opportunity to learn and grow, in an inclusive environment, where you will feel like family.
  • Competitive salary 
  • Fantastic health benefits that include medical plans that will exceed your family’s needs. 
  • Looking to further your education?  Let us help you with that – tuition assistance is available for full and part time employees after 90 days, up to $5250 per year. 
  • Plus we can offer you a whole suite of consumer discounts on items from cell phone plans to travel and more.

 

WHAT YOU WILL DO: 
  • Perform Client Representative activities based on production quotas.  Fully capable of meeting quotas.
  • Work with Manager to ensure the staff is capable of handling current production goals within department(s).
  • Assist in training new staff by demonstrating sound claims processing and collections practices, participating in role plays, monitoring new hire calls and providing feedback.  Provide feedback to Supervisor on new hire progress, surfacing issues or other actions that should be taken to improve/maintain success.
  • Provide first level help to staff by answering questions, reviewing policies or procedures, participating in client calls, addressing escalated issues, researching customer accounts or providing feedback to staff.
  • Participate in weekly monitoring sessions with Manager and staff members as assigned.
  • Perform weekly QA audits in each company. Achieve and maintain acceptable scores and functions as outlined in the QA program.  Maintain prompt and accurate documentation outlining all steps of the QA program that have been taken in individual organized files.  Fill out the proper forms.  Audit the assigned number of accounts per day following a set schedule.  Forms will be completed and turned in within required timelines.
  • Provide feedback to Manager on staff performance.
  • Maintain a working inventory of accounts equal to 75% of the volume a normal reps inventory would carry.  Also manage a queue of problem accounts and make follow-up calls or provide other supervisory resolution action as needed.  Ensure proper follow-up by seeing that the inventory of problem accounts never exceeds 25 on a daily basis.  Escalate problems as deemed appropriate.  Monthly fee goals will be adjusted to account for the 25% of a Team Leads time spent off of their collection desk supporting their staff members. 
  • Prepare daily and weekly reports as needed as to the status of the MTD production quotas. 
  • Conduct weekly sessions with staff members and provide updates to the Manager regarding issues discussed.  The goal of this meeting is to provide the staff an open forum to discuss collection related issues that affect clients, co-workers, the company etc.  Document meetings and provide collection staff the notes for follow-up.  Maintain session scheduling and notify Unit Manager of such schedule.
  • Provide first level help to staff by answering questions, reviewing  policies or procedures, participating in project calls, researching customer accounts or escalated issues or providing feedback to staff.
  • Track and maintain unit aging and inventory.
  • Update and maintain manuals, workflows and process documentation for assigned business lines.


Job Requirements

  • Knowledge: Working knowledge of WC/MVA medical insurance claims processing.  Capable of meeting production quotas.  Familiarity with Coding, CPT, Medical Terminology and Credentialing. 
  • Experience: At least 3 years experience in hospital or physician billing including 2 years and a working knowledge of medical terminology for insurance related issues.  Experience with standard office software products a must.
  • Skills/Aptitudes: Demonstrated leadership, analytical, communication and problem solving skills and the ability to act/decide accordingly.  Ability to collect, create and research complex or diverse information.  Exceptional customer service and the ability to plan organize and exercise sound judgment. Understanding of CPT & ICD-9/10 coding

 
 
Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade We remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.


We are an equal opportunity employer and we value diversity at our company.  We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.
 
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