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Accts Receivable Team Lead / PA Non Medicare Billing

Hartford HealthCare at Home

Accts Receivable Team Lead / PA Non Medicare Billing

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what they do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary: Responsible for assisting the Accounts Receivable (AR) Follow Up/Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of monitoring timely and accurate collection of third-party payers, resolving outstanding insurance claims across all Hartford HealthCare hospitals, medical group and homecare. Assuring the organization is complying with all federal/state guidelines, keeps abreast of all regulations and standards to ensure compliance with governmental/regulatory agencies or third-party payers, responsible for Epic quality assurance to ensure high quality and cost-effective products or services are delivered. Responsible for daily work queue inflow, account activity assignment, weekly aging and dashboard monitoring. Provides leadership to the team regarding management of technical functions, vendors and client relations through project management, relationship building and internal department collaboration, organizational awareness and input to Yearly Performance Appraisals/SMART Goals. Supports the HHC core values, strategic plan and established Patient Financial Services goals and objectives.

Position Responsibilities: Key Areas of Responsibility 1. Responsible for assisting supervisor and team with timely realization of payment for approximately $550+ million in active inventory and $70 million in denials, assisting with the effective resolution of denials, underpayments and credit balances. These numbers will increase with new acquisitions. 2. Supports the supervisor with: a. Implementing and monitoring meaningful goals and objectives b. Tracking trends and results c. Improving quality and productivity d. Identifying opportunities e. Recommending and assisting to implement changes f. Documenting and implementing policies and procedures g. Oversight and management of individual performance expectations h. Coaching and developing i. Employee and professional development j. Training opportunities k. Vendor relationships and performance 3. Provides input on decisions that affect workflows effecting timely resolution of insurance claims. 4. Provides support for other ad hoc analyses and projects as needed 5. May contribute to the outcomes of the defined function by performing the work of the function as required (minimal). 6. Effectively and continually communicates with staff, management and customers to facilitate the flow of information. Demonstrates H3W Leadership Behaviors. 7. Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organization's objectives 8. Assumes responsibility for self-improvement in collaboration with superior 9. Maintain effective positive customer service, ensuring the needs are met and educating staff on the importance of quality customer service 10. Provides training support for colleagues 11. Daily Huddle Leader 12. Performs other duties as assigned

We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

Regular Standard Hours Per Week: 40 Schedule: Full-time (40 hours)

Vacancy posted more than 2 months ago

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