Team Lead - Healthcare - Hospital PFS

Job Family:

Patient Account Representative

Travel Required:

Up to 10%

Clearance Required:

None

What You Will Do:

The Team Lead - Hospital 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 job-related duties as assigned.

This position is classified under a Hybrid schedule consisting working two days in the San Marcos, CA office and three days working from home.

Strong Hospital Claims A/R & Billing Follow-up Mentoring of fellow team members when needed

Supporting of staff / supervisor to be successful and work as a team Manage day-to-day problem solving and a point of contact for team questions

Quality assurance reviews, feedback, and other trainings as necessary

Sending of official correspondence (e-mails) to team members, client, and providers

Ability to work with other leads to develop policies and procedures, as needed

Provide feedback for mid-year and year end employee reviews to leadership

Organizing team building exercises

Create, distribute, and monitor team members understanding of work-related job-aides

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 job-related duties as assigned

What You Will Need:

High School Diploma/GED and 8 years of relevant experience.

Relevant experience coming from the following, healthcare payor, provider, revenue cycle, business operations, or professional services environment.

What Would Be Nice To Have:

Hospital claims A/R background

Demonstrated proficiency in relevant revenue cycle processes with high production and quality standards

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 ICD-10 in a fast-paced environment.

Proficiency researching billing guidelines

Providing training and mentoring to team members

Act as a role model for team, office, and company#Indeed Sponsored#LI-DNIThe annual salary range for this position is $65,000.00-$. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

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 Short-Term & Long-Term Disability Tuition Reimbursement, Personal Development & Learning Opportunities Skills…