Job Description

Job Family:

Business Operations

Travel Required:

Up to 10%

Clearance Required:

None

What You Will Do:

The Great Start Team Lead/ Floater is an extension of a client’s business office staff as well as our in-house client specific training program. Representatives will perform any and all job-related duties as assigned. Representatives will provide training to staff members for all projects and positioned assigned to their role related to revenue cycle reimbursement. Under general supervision and according to established policies and procedures, performs a variety of duties related to customer service and self-pay recovery functions of Call Center Support Operation. Such duties may include, but are not limited to, the following: 1) assists manager and supervisor in coordinating all activities related to PFS Follow up 2) will serve as Subject Matter Expert in all areas of assigned client project(s), and 3) reviews work of and provides feedback and training to Patient Account Reps, and 4) assists in the implementation of standards and guidelines, and 5) answers questions and routinely assists employees in area and to ensure performance goals are met, 6) reviews reimbursement to ensure payments received are timely and accurate, and 7) performs other duties as assigned by direct supervisor

• Must be self-directed / self-motivated.
• Good communication and interpersonal skills.
• Account Review
• Appeals & Denials
• Medicare/Medicaid
• Insurance Follow-up
• Customer Service
• Billing
• UB-04 & CMS 1500
• Reporting
• Training
• Subject Matter Expert and remains current in all areas of designated project/client, including client host system and imaging systems, internal host system – METRIX, internal vendor systems and call center platforms
• Complete all business-related requests and correspondence from patients and insurance companies. Reviews work of team members and provides training and feedback as needed.
• Audits patient accounts as requested Assists management with coordinating activities.
• Train new employees and facilitates project specific refresher training sessions
• Performs functions assigned by Supervisor/Manager to ensure team objectives are met.
• Manages and reports on task dashboard and work queue (desk) daily/weekly/monthly
• Provide continuing education for current employees.
• Assists employees and answers questions to make certain team’s performance goals are met.
• Assists in the implementation of standards and guidelines.
• Prepares daily productivity, call and payment reports
• Provides timely feedback to appropriate management
• When working AR responsible for working on up to 40 Accounts Per Day
• Complete all assigned projects in a timely manner.
• Assist client and patients in all requested tasks.
• Communicate to Guidehouse management areas of concern or areas of improvement.
• Provide client specific training for patient account representatives
• Review and update production reporting

Client Responsibility

• Research and respond to all patient inquiries received by telephone and mail.
• Update patient demographic information and initiate account adjustments.
• Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

What You Will Need:

• High School Diploma/GED or 3 years of relevant equivalent in lieu of diploma/GED
• 8 years working within the following sectors: healthcare, insurance, business, finance or customer service.
• Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities.

What Would Be Nice To Have:

• HB experience
• Three to five years of experience in the healthcare field.
• PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.
• Ability to initiate and follow through on projects and work independently with minimal supervision required.

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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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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.