Team Lead - Payment Variance

Job Family :

PFS General

Travel Required :

Up to 10%

Clearance Required :

None

What You Will Do :

The Team Lead - Physician Payment Variance 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.

• Strong Physician Claims Payment Variance & A/R 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 :

• Strong physician claims payment variance background

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

• Strong 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.

• Demonstrated leadership qualities fostering team cohesion accountability and high performance

• Demonstrated proficiency researching billing guidelines

• Demonstrated skills providing training and mentoring to team members

• Act as a role model for team office and company

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The annual salary range for this position is $59000.00-$98000.00. 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 Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected] . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected] .  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received please contact [email protected] . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.