Team Lead

Solekai Systems Corp Phoenix , AZ 85002

Posted 2 months ago

Accenture Flex offers you the flexibility of fixed duration project based work powered by Accenture, a leading global professional services company. Accenture is consistently recognized on FORTUNE s 100 Best Companies to Work For and DiversityInc s Top 50 Companies for Diversity lists.

As an Accenture Flex employee, you will apply your skills and experience to help drive business transformation for leading organizations and communities. In addition to delivering innovative solutions for Accenture s clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today s biggest business challenges. You will receive competitive rewards and access to benefits programs and world class learning resources.

Role Responsibilities

The Team Lead will manage a multi-lingual group and is responsible for delivering high calibre customer service and metrics to the client's business customers.

The Team Lead will represent the team in communications with the client and provide all levels of support when necessary. They are the main point of contact for the client and act as the point for escalation.

They are responsible for all aspects of the process and will liaise closely with global counterparts. There will be a strong element of analytical metrics review & input, new process incubation, induction and process improvement.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Team Lead


Posted 7 months ago

VIEW JOBS 11/27/2019 12:00:00 AM 2020-02-25T00:00 Overview MEDNAX has grown from a single medical practice to a trusted health solutions partner with more than 10,000 employees and a presence in 50 states. Through our family of companies, we provide: * physician services spanning the continuum of patient care * revenue cycle management solutions * performance improvement consulting We invite you to grow with us and help shape the future of health care. JOB SUMMARY: The Team Leader is responsible for effective and efficient accounts receivable management of assigned payers. The collections efforts on outstanding accounts includes; telephone contact with payers and parents, work collection reports and correspondence, audit accounts, appeal denied claims as necessary, update accounts as necessary, identify carrier related denial trends and meet departmental productivity standards. In addition, the Team Leader is to assist the Manager in maintaining goals set for the department and associates. The goals include; run or request Accounts Receivable reports as needed, review adjustments and refunds prior to the manager receiving as required, monitor problem packs and appeals, and perform supervisory tasks as needed. Responsible for the daily auditing of the department's Collectors' work to ensure accounts are taken to the next level. Performs required tasks on GPMS, electronic claims vendors' software, Medifax, MS Excel and Word. Responsibilities * Assists with Managerial tasks within the respective department. * Review and audits Associates' productivity. Identifies Associates' areas of additional training. * Assist with Associates' difficult accounts and workload. * Continually provides training to the Associates. * Monitors Associates' hours worked. * Provides backup support in Manager's absence. * Works closely with the Manager on a daily basis to ensure a smooth operation within the department. * Make necessary telephone or written contact. * Contact payers to check claim status and reimbursement. * Contact parents to obtain accurate insurance information. * Phone appeals on denied claims. * Contact payer regarding carrier issues. * Provide Call Center backup as needed. * Send appropriate letters. * Consistent follow-up on outstanding accounts by running and working collection reports and correspondence. * Not Worked Report – Summarizes outstanding accounts not worked within the department's guidelines. * 1499 Report – Identifies registered Commercial accounts that have been paid as Managed Care. * Denial Report – Identifies specific denials posted from EOB's received. * Residual Report – Identifies balances remaining after payer has made a payment. * Queue Summary Report – Identifies the accounts that are scheduled to be worked for a given day. * Clearinghouse Reports – Identifies specific denials for claims submitted electronically. * Review, distribute and/or work all daily correspondence received from patients and payers. * Perform audits on accounts when needed. * Review accounts for accuracy (ie; payments have been posted correctly, appropriate adjustments have been made, etc.). * Process and/or review refunds for overpayments made by payers and patients. * Process and/or review adjustments as necessary (ie; contractual, good faith, settlement, etc.). * Appeal denied claims via mail or telephone. * Request Accounts Receivable Status Reports when a denial trend has been identified. * Review accounts receivable report detail for denial trends. * Obtain Medical Records from Hospital Associates and send them to the payer. * Review diagnosis and procedure codes with the Coding Department. * Submit and/or monitor problem packs or appeals to payers. * Update accounts as necessary. * Update accounts in GPMS with information obtained through correspondence and telephone (ie; insurance, authorization, address, baby's name, etc.). * Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes are current and timely. * Identify carrier related denial trends. * Review denial reports (GPMS Denial, electronic claims, Not Worked) for payer trends. * Elevate problems to department Manager. * Meet or exceed required departmental productivity standards on a consistent basis. * Average of quality and quantity productivity standards must meet or exceed 94%. * Performs a variety of other collection duties. * Assists on various special projects as determined by the Manager. * Always meets deadline dates and times on assigned projects. * Work overtime in mandatory situations. * Maintain strict confidentiality in accordance with HIPAA regulations and Company policy. * Any patient private health information (PHI) must not be divulged on any account except to payers that need the information in order to process the claim for payment. * Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties. * Performs other job-related duties within the job scope as requested by Management of Patient Accounts. * Embodies the principles of the corporate Mission Statement and Philosophy at all times. * Represents the corporation in a positive fashion and makes all individuals feel as comfortable as possible. * Conducts all business in a professional manner maintaining respect for individuals at all times. * Complies with departmental and company-wide policies and procedures. * Maintains constant awareness of potential safety hazards insuring necessary safety precautions. * Reads and complies with established policies and procedures. Qualifications * Associate's degree (A.A.) or equivalent from two-year College or technical school; or one to two years related experience and/or training; or equivalent of education and experience. * Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to effectively present information and respond to questions from customers and the general public. * Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts and percentages. * Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to define problems, collect data, establish facts, and draw valid conclusions. MEDNAX IS AN Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status MednaxCorp Mednax Phoenix AZ

Team Lead

Solekai Systems Corp