Job Description

Job Title: Team Lead, Corporate Revenue Cycle
Job ID: 742831
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Rev Cyc Enrollments
Location: 2 Hot Metal Street, Pittsburgh PA 15203

Description

Purpose:
Are you looking to take on a leadership position within the Revenue Cycle?  Look no further than the Team Lead opportunity!  Under minimal supervision, this position will serve as a resource for billing office staff in areas including, but not limited to, coding, charge entry, payor guidelines, payment posting and collections. This position will also function to assist supervisory staff in areas of workflow and day-to-day operations throughout the Billing Office.

This role is a full time opportunity and is scheduled Monday through Friday during daylight hours.  Apply today if this sounds like a fit for you!

Responsibilities:
  • Ability to trend rejections/edits by volume. Identify if problem is related to a System, Payor, Provider or Specialty by analysis and research of rejections. Report problem and solution to manager.
  • Assist Supervisor in maintaining workflow to ensure that departmental goals are met.
  • Assist employees with day-to-day questions, issues or problems.
  • Assist in the interview process.
  • Assist management staff with supervisory activities as directed, across all functional areas of the billing office.
  • Assume responsibilities of Supervisor in his/her absence.
  • Attend Annual compliance/HIPAA training as required.
  • Collaborate with management staff to achieve improvements within the billing office.
  • Communicate between departments to implement and support appropriate solutions that impact all areas of PSD.
  • Complete Epic ERS requests as necessary to support the process of working edits, denials and/or rejections in order to properly file them to the Dot2 or refile to the payor once a solution is reached to resolve the matter.
  • Conduct departmental meetings as required.
  • Demonstrates proper use of web sites for complete analysis of payer problems
  • Develop and maintain training materials and conduct training and mentoring sessions for new and existing staff.
  • Identify trends in payments, denials, charge capture, and cash posting that compromise the ability of the department to meet established goals.
  • Maintain current knowledge of all billing activities and collaborate with other department leads as necessary to facilitate departmental operations.
  • Maintain strict confidentiality related to employee and patient records.
  • Perform duties and responsibilities in a positive manner that upholds the management philosophy, policies and procedures of UPMC Cancer Centers.
  • Perform essential functions of business office as needed.
  • Perform physician record review and provider information changes in the MFPdb and Apogee
  • Process all Epic Help Desk forms related to Enrollment questions.
  • Review and resolve all Enrollment related denials, rejections and edits. Report to Manager any change to a provider that may affect AR. (ex: number correction)
  • Successfully organize and prioritize work to demonstrate efficient collections to meet cash flow goals of PSD, as a unified department

Qualifications

  • High School or equivalent and four years experience in a healthcare setting with specific experience in business functions such as registration, charge entry, payment posting, and billing OR equivalent combination of education and experience required 
  • Knowledge of medical terminology, third party payer guidelines and reimbursement practices, and familiar with Electronic Data Interchange format and Provider Enrollment Credentialing guidelines
  • Must demonstrate strong interpersonal, organizational, and communication skills
  • Ability to work independently and as a team member
  • Effective problem-solving skills required
  • Must be able to meet departmental goals on an ongoing basis
  • Experience with EPIC billing system is required.
  • Post-secondary education in healthcare or business related field is preferred
  • Current knowledge of ICD-10, CPT and HCPCS coding
  • Awareness of compliance and HIPAA guidelines as related to billing office functions
  • Working knowledge of Microsoft Word and Excel

Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $18.24 to $30.32

Union Position: No

Apply Current Employee?

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At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

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DIGNITY & RESPECT
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