Hours:
Shift Start Time:
VariableShift End Time:
VariableAWS Hours Requirement:
8/40 - 8 Hour ShiftAdditional Shift Information:
Weekend Requirements:
As NeededOn-Call Required:
NoHourly Pay Range (Minimum - Midpoint - Maximum):
$29.403 - $36.754 - $44.104The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
The Lead schedules, oversees and monitors the day to day activities of the BAR Unit assigned to them. This position provides personnel in the unit with day to day operational oversight, guidance, communication and leadership for the purpose of enduring the performance standards. In the absence of, or as directed by the Business Service Manager, this position acts in a direct management capacity.
Required Qualifications
- 4 Years experience in Physician Billing, or health insurance reimbursement with demonstrated performance that consistently exceeds expectations.
- Experience in software installations and upgrades and Data mining/warehouse applications.
Preferred Qualifications
- H.S. Diploma or Equivalent
- Certified Professional Coder (CPC) - AAPC -PREFERRED
Other Qualification Requirements
- Bachelor's degree in business or related field, or equivalent knowledge/experience in related field. - Preferred
Essential Functions
- Customer service
Customer contact includes all elements of staff level script and customer contact is documented. Serves as a professional role model in overall conduct and communications. Telephone and or written customer issues and concerns are processed with department objectives of a prompt concise message. Unit productivity and service monitoring methods are developed that support the customer service and financial goals of Patient Financial Services.
Responds timely to voicemail, emails, or other correspondence. Keeps voicemail and email messages up-to-date.
Organizes work activities to allow for follow through on customer commitments. - Financial responsibilities
Proper reporting of measures and trending of statistics involving daily cash, contractual percentages, AR > 120%, AR Days both Gross and net. Also included but not limited to bank balancing with the Finance Department, 120 + days reporting, Claim edit reporting, PCS outstanding accounts completed vs. not completed for the month vs. volume, outstanding correspondence monitoring, and any and all outstanding repetitive issues with any of the Insurance Companies. - Human resource management
Employee performance reviews, coaching, counseling and appraisals are prepared with sufficient supporting documentation, by the due date and under the direction of and in association with the Manager.
Employees receive ongoing feedback on performance.
Staffing schedules are prepared that assure adequate department coverage. Vacations and time off are planned in a manner that is fair to all staff. - Meeting attendance
Participates in appropriate system meetings and projects to establish standardization of business procedures.
Identifies system issues or processes that do not function correctly. Recommends system enhancements or shifts in work distribution or workflow for greater efficiency, effectiveness and quality in meeting department goals.
Collaborates with other teams and departments to resolve issues affecting the PFS/CCD department functionality. Meetings to attend but not limited to: Customer Service Meetings, FFS Payers Meetings, System Testing, MPV Tool meetings, and working with CCD Department Analyst(s) and IS Analyst teams. - Quality assurance
Provides training and assistance to assigned staff, individually and in teams, to maximize knowledge, production goal, achievement of safety awareness and quality improvement.
Incorporates decision making, empowerment and other quality standards in the day-to-day work process to promote teamwork and exceptional customer service.
Demonstrates good judgment and acts within established policies and procedures.
Knowledge, Skills, and Abilities
- Effective communication skills with all levels, both verbal and written.
- Ability to perform under pressure and meet deadlines.
- Ability to keep neat and accurate files.
- Ability to use Microsoft Office Products, Cognos, GE/IDX.
- Must have advanced knowledge of CPT-IV, ICD-9CM and HPCS coding.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class