Medicare Specialist Team Lead

HCA Murfreesboro , TN 37130

Posted 2 months ago

SHIFT: Work From Home

SCHEDULE: Full-time

Do you want to be a part of a family and not just another employee? Are you looking for a work environment where diversity and inclusion thrive? Submit your application today and find out what it truly means to be a part of a team.

At HCA Healthcare, you have options. You can choose from a variety of benefits to create a customizable plan. You have the ability to enroll in several medical coverage plans including vision and dental. You can even select additional a la carte benefits to meet all your needs. Enroll in our Employee Stock Purchase Plan (ESPP), 401k, flex spending accounts for medical and childcare needs, and participate in our tuition reimbursement and student loan repayment programs.

HCA Healthcare is dedicated to the growth and development of our colleagues. We will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitious Medicare Specialist Team Lead to help us reach our goals. Unlock your potential here!

As a Billing/Medicare Specialist Team Lead, you will be responsible for monitoring all aspects of Medicare receivable processing, including but not limited to, billing, collection, account and system maintenance, process reconciliation, and productivity reporting.

What you will do in this role:

  • Maintains current knowledge of all office operations, job specific requirements and related regulations

  • Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards

  • Provides ongoing training and education to staff to ensure policies and procedures are followed

  • Strives to improve current operations by identifying inefficiencies and recurring problems and by making suggestions to management and education department

  • Directs staff daily to ensure daily work flow is current

  • Monitors staff's performance to ensure expected goals are being met and addresses issues with staff members if the need should occur

  • Meets with Manager regularly to effectively communicate and resolve follow-up issues, set and prioritize goals, improve processes and reviews follow-up status

  • Works as a liaison between team members and management

  • Establish working relationships with FI's and Facility/SSC staff

  • Establish and maintains effective relations with staff promoting a positive team environment

  • Exercised good judgment and makes sound decisions in the absence of detailed instructions or in an emergency situation

  • Sets a good example for staff by adhering to all office policies and maintain a positive attitude

  • Reviews claims for completeness, reasonableness of charges, and appropriateness of billing codes, and payer information

  • Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer

  • Handles all incoming phone calls and inquiries in an appropriate manner

  • Properly processes and responds to incoming and outgoing correspondence

  • Contacts and effectively communicates with all parties involved in the resolution of accounts placed

  • Completes work request timely and in accordance with instruction

  • Performs all of the tasks necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold)

  • Forwards and logs all documentation related to processes and duties which are transferred to other employees

  • Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor's attention daily

  • Exercised good judgment and makes sound decisions in the absence of detailed instructions or in an emergency situation

  • Treats client request with a high priority. Quickly informs supervisor and any other personnel needed to help carry out the request timely, accurately, and according to instruction.

  • Adapts and conforms to company and client requirements not specified in this job description/performance review

Qualifications

EDUCATION

  • High school graduate or equivalent

EXPERIENCE

  • Preferred minimum of 2 years Medicare claim processing experience

Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been consistently named a World's Most Ethical Company by Ethisphere and is ranked in the Fortune 100.

We are a family 270,000 strong! Our Talent Acquisition team is reviewing applications immediately. Highly qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and 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.

Notice

Our Company's recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

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Medicare Specialist Team Lead

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