Team Lead, Operations

4 days ago

Pasig, National Capital Region, Philippines Med-Metrix Full time
Job Description

Posted Tuesday, February 18, 2025 at 4:00 PM

Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix

Experience these exceptional benefits when you join Med-Metrix

  • Day 1 HMO with 2 of your dependents covered for FREE
  • Clothing Allowance
  • Free Lunch Daily
  • Paid Time Off
  • Training and Staff Development
  • Employee Engagement Activities
  • Opportunities for Internal Mobility

Job Purpose
The Operations Supervisor, AR Follow Up is responsible for the management and support of a team of Medical Claims Analysts, by monitoring all key performance measures for clients within the assigned region, providing operational support to global services teams, ensuring follow up of medical billing policies and procedures, completing bi-weekly assessment of overall client standing, providing analysis, and creating an action plan based on findings. The Operations Supervisor, AR Follow Up also provides support to their teams regarding any client escalations related to RCM services and provides resolution plans, follows up support when required, and assists with other duties as assigned.

The Operations Supervisor, AR Follow Up oversees the performance of the Medical Claims Analysts to provide guidance for growth and gives constant feedback on performance. The incumbent will set the expectations for team relationships and milestones.

Duties and Responsibilities

  • Organizes, directs, and monitors the daily activities of the Accounts Receivable Teams (Onshore/Offshore) as it relates to Insurance Follow-up/Revenue Cycle Management.
  • Distributes workload to team, monitors and reviews performance.
  • Monitors and analyzes productivity of the Accounts Receivable Teams and completes employee evaluations.
  • Fields questions from team and offshore vendors.
  • Establishes procedures, prepares, and coordinates schedules, and expedites workflow.
  • Prepares reports and correspondence as needed.
  • Manages the quality and productivity of the team and ensures work is communicated and completed in a timely manner.
  • Compiles status and work-volume reports for management.
  • Interviews, trains, motivates, and rewards Medical Claims Analysts.
  • Manages disciplinary personnel issues and escalates accordingly.
  • Maintains thorough knowledge of the medical billing industry.
  • Possess thorough knowledge of healthcare claims processing including ICD-9/10, CPT, and HCPC codes, as well as 1500 forms.
  • Maintains confidentiality at all times; adheres to the HIPAA and PHI Guidelines.
  • Assists with the implementation of policies and procedures necessary to comply with federal, state, and third-party regulations which govern billing and collection activities for physician services.
  • Creates/Updates all pathways relating to AR Follow Up as needed and provides updates to the AR Management Team/Staff.
  • Participates in the regular calls with offshore vendor to review issues and provide resolution/guidance.
  • Performs Medical Claims Analyst duties as needed.
  • Performs other related duties as assigned by management.
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Qualifications

  • Bachelor's degree (B. A.) or equivalent, two to four years related experience, or equivalent combination of education and experience.
  • 2+ years' experience as a supervisor.
  • Related training/experience (preferably within the past five years).
  • Knowledge of Medicare, Medicaid and Managed Care guidelines.
  • Proficiency in the use of Excel Spreadsheets, PowerPoint, and various software programs.
  • Excellent interpersonal and organizational skills.
  • Strong leadership, independent thinking and decision-making skills.
  • Strong organizational, problem-solving, and analytical skills.
  • Excellent oral and written communication skills.
  • Ability to communicate with all members of the healthcare team.
  • Ability to prioritize assignments.
  • Analytical--Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.
  • Problem Solving--Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
  • Technical Skills--Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others
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