Job Family :

Patient Account Representative

Travel Required :

None

Clearance Required :

None

The PFS Team Lead assists in overseeing the daily operations of assigned project(s). This position is responsible for providing 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.

Essential Job Functions:

• Must be self-directed / self-motivated.

• Good communication and interpersonal skills.

• Must be able to:

• Perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure.

• Accept responsibility for one’s own work.

• Work independently.

• Recognize the rights and responsibilities of patient and employee confidentiality.

• Convey empathy and compassion to those experiencing pain, physical or emotional distress and/or grief.

• Relate to others in a manner which creates a sense of teamwork and cooperation.

• Communicate effectively with people from every socioeconomic, cultural and educational background.

• Exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment.

• Perform effectively when confronted with emergency, critical, unusual or dangerous situations.

• Demonstrate the quality work ethic of doing the right thing the right way.

• Maintain a client centric focus and strive to satisfy the client’s needs.

Duties and Responsibilities

• Be a Subject Matter Expert and remain current in all areas of designated project/client, including client host system, imaging systems, internal host systems and vendor systems

• Ensures personal and team follow-up requirements are performed accurately

• Organizing team building exercises

• Reviews work of team members and provides training and feedback as needed.

• Audits patient accounts as requested

• Assists leadership with coordinating activities.

• Help train new employees and facilitate project specific refresher training sessions

• Performs functions assigned by Supervisor/Manager to ensure team /project objectives are met.

• Manages and reports on task dashboard and work queue (desk) daily/weekly/monthly

• Runs and reviews daily reports - ATB, cash, aged accounts, and any required reports for operational AR gaps and advise Supervisor/Manager of findings as needed.

• Works with Supervisor/Manager on client reporting deliverables such as performance summary reporting decks and reporting to be utilized on client calls and month end.

• Special Ad-hoc reports assigned by management.

• Provide continuing education for current employees

• Assists employees with their questions to ensure team / project performance goals are met.

• Assists in the implementation of standards and guidelines

• Prepares and reports daily productivity of team members

• Provides timely feedback to the leadership team

• Works closely with supervisor to create applicable work lists

• Reviews team members submitted adjustments for accuracy and compliance with client policies

• Post approved adjustments as applicable.

• Type and distribute all team meeting/huddle minutes.

• Effectively communicates with the client through email or telephone as needed.

• Attends payor provider calls as needed documenting all meeting minutes.

• All job-related duties as assigned.

What You Will Need:

• High school diploma

• 8 years of experience in the medical billing field

• Must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

What Would Be Nice to Have:

• Advanced problem-solving skills

• 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

• Act as a role model for team, office, and company

• Demonstrated skills providing training and mentoring to team members

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 Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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.

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.