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Account Resolution Team Lead

Integrated Medical Partners
Account Resolution Team Lead
Position Description
Company Description:
Integrated Medical Partners (IMP) is a full-service provider of profit-improvement solutions for medical practices. With a nationwide network of practice clients and experience, IMP is an organization that offers a fully integrated suite of business services to its clients, including: revenue cycle management (RCM); analytics & decision support; managed imaging workflow; strategic positioning & consulting.
Reports To: Account Resolution Department Manager
Position Summary:
The Account Resolution Team Lead performs activities relating to resolving accounts receivable/financial services/patient services tasks, projects, issues and discrepancies with insurance, patient and/or other third parties. Offer support to other departments within the company following standard operating procedures. Refer to training documents for standard operating procedures for the responsibilities below.
What Makes this a Great Opportunity:
IMP is a growing company, evolving with and adapting to the changing landscape of healthcare.
For a Team Lead, every day is different: you have the opportunity to use your ability to analyze and communicate well in order to positively impact your colleagues, clients, and patients in a variety of ways.
Perfect role for a person with keen skills in proactively identifying areas of AR opportunity, effectively communicating directives to team members as well as to other key stakeholders, and who can also accurately assess next steps to be taken for corrective action.
Directly impact top and bottom lines for IMP and its clients as well as ensuring that patients are correctly reimbursed.
Work within a true teamwork environment.
Potential for individual growth and evolution as IMP continues to grow and expand.
Essential Responsibilities:
Work Effectively with the A/R Manager and CSMs to maintain acceptable level of RCM performance
Exhibit detailed knowledge of carrier guidelines and regulations
Act as a SME and continually expand knowledge of carrier guidelines and regulations
Document and develop appropriate processes and resources for client nuances that are independent of Standard Operating Procedures
Recognize and escalate to the training department and A/R Manager any procedures/training issues that arise with individual staff members or entire departments to assist in the development of SOPs
Be the subject matter expert who works with the A/R Specialist to further knowledge to guide your team:
Provide daily/weekly operational direction
Communicate claim trends to leadership and management
Mentor and support the team of analyst within their region
Direct work queue efforts for Stateside and BPO partners
Monitors backlog of tasks and turnaround times in queues
Effectively communicate risks and progress to the appropriate internal parties via IMP Communication Path
Identify, document and work with Management on global systematic issues impacting client, IMP resources, or Standard Operating Procedures (SOP)
Utilize all the tools within the billing system and analytics to monitor client metrics
Understand Revenue Cycle Management Standard Operating Procedures
Coordinate/track projects, reports, resources, and tasks using project management software
Follow through to ensure corrective actions lead to resolution of issues in a timely manner
Demonstrate effective communication skills with both internal & external contacts
Ensuring the highest standard for service quality and delivery deadlines are met consistently
Responds to staff, management, and patient questions in a timely and productive manner
Assist in Training to develop, update, and implement policies and SOPs as needed
Troubleshoot and assist staff as needed
Foster communication conduits between Patient Services, Financial Services, Account Resolution to ensure the assigned accounts run smoothly
Review for opportunity to improve the billing process (reduce errors, manual work efforts)
Work with Programing/Training Departments on issues and potential corrections and system enhancement request
Communicate strategic plan to AR Management
Identify payer trends and behavior through business analytics
Perform Root Cause Analysis
Be the resource for our Business Process Outsourcing (BPO) partners
Participate in Patient Services incoming calls when needed
Attend and actively participate in staff meetings, client meetings and quarterly focus reviews
Be open to changing the manner in which work is processed in order to achieve maximum efficiency
Actively support a cohesive team atmosphere while representing IMP as a professional at all times
Performs batch review and closings as well as other EOM tasks as assigned
Additional responsibilities as assigned
Success Criteria:
Your success will be measured based on:
Ability to identify payer trends and behavior through business analytics; perform root cause analysis.
Effectiveness in working closely with Management, Account Resolution, Patient Services & Financial Services Reps, Client Solutions Managers and other key stakeholders to maintain acceptable level of RCM performance.
Ability to identify and document the correct measures to solve risk globally.
Follow through to ensure corrective actions lead to resolution of issues in a timely manner.
Upholding the highest standards for service quality and delivery deadlines, consistently.
Acting as the subject matter expert to guide the teams.
Establishing SOPs based on trends and root cause analysis.
Participating in a teamwork oriented culture to provide the highest impact to IMP and its clients.
Basic Qualifications:
Must have 3 to 5 years experience in revenue cycle management and/or in an account management capacity (in healthcare or managed care) with college degree or equivalent; should have exposure to all aspects of the billing industry, including charges, payments, insurance follow up, aged reports, government payer and managed care policies.
Must have Strong PC Skills, with intermediate to advanced knowledge of MS Word and Excel.
Working knowledge of CPT/ICD 10 codes
Excellent organization skills
Demonstrated ability to multi task and manage complexity
Desired Qualifications:
College experience or degree preferred.
Strong communication skills, both written and verbal.
Ability to interact professionally and productively with all levels of the organization and its clients.
A do what it takes attitude, strong team focus, and a demonstrated ability to lead by example.
Compensation:
Competitive salary
Benefits:
Complete benefits package available
To apply for this position, please visit our website at:



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