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1 Vacancy
Job Family:
PFS General
Travel Required:
Clearance Required:
What You Will Do:
The Team Lead Physician Claims is responsible for supervising and coordinating the daily operations and activities of the assigned team of patient account representatives. This role ensures the efficient handling of patient accounts while maintaining quality assurance standards.
The individual is to provide support in developing implementing managing and meeting or exceeding the operational goals of our clients and Company. The Team Lead will and may work closely with their team project supervisors operations managers and the client to work on opportunities with new and emerging approaches to our clients business processes. This position will follow and ensure that client and company policies and procedures are followed and will also perform all jobrelated duties as assigned.
This position will be on a hybrid schedule working two days in the Lewisville TX office and three days from home.
Strong Physician Claims A/R Followup
Mentoring of fellow team members when needed
Supporting of staff / supervisor to be successful and work as a team
Manage daytoday problem solving and a point of contact for team questions
Quality assurance reviews feedback and other trainings as necessary
Sending of official correspondence (emails) to team members client and providers
Ability to work with other leads to develop policies and procedures as needed
Provide feedback for midyear and year end employee reviews to leadership
Organizing team building exercises
Create distribute and monitor team members understanding of workrelated jobaides
Monitor and ensure compliance with company and client standards
Strong understanding of all software/systems used
Identify validate and report project trends / issues
Updating of spreadsheets monitoring outstanding items for each client and providing updates to leadership client and team
All jobrelated duties as assigned
What You Will Need:
High School Diploma/GED and 8 years of relevant experience or 10 years relevant work experience in lieu of diploma/GED
Relevant experience coming from the following healthcare payor provider revenue cycle business operations or professional services environment.
What Would Be Nice To Have:
Strong physician claims A/R background
Demonstrated proficiency in relevant revenue cycle processes with high production and quality standards
Strong verbal and written communication skills to effectively communicate with staff and client
Demonstrated proficiency interpreting relevant coding systems including but not limited to CPT and HCPCS and ICD10 in a fastpaced environment.
Demonstrated leadership qualities fostering team cohesion accountability and high performance
Demonstrated proficiency researching billing guidelines
Demonstrated skills providing training and mentoring to team members
Act as a role model for team office and company
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What We Offer:
Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical Rx Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account Dental/Vision & Dependent Care Flexible Spending Accounts
ShortTerm & LongTerm Disability
Tuition Reimbursement Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency BackUp Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting ator via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Full-Time