Team Lead - All Payer A/R Specialist
Patient Financial Services
Req #: 28543
Job Summary: The team lead for the All Payer A/R ’a primary responsibility is to reduce outstanding insurance due balances accurately and in a timely fashion to ensure a positive cash flow for the billing service. The team lead will act as a resource to the this specialized all payer follow up team, providing assistance with third party payer issues relative to follow up, appeals, denials and trends affecting all team members. He/she also provides training to new follow up staff and assists with implementation of system updates/changes to processes relative to third party follow up. Duties include but are not limited to: reviewing monthly primary and secondary insurance lists, communicating with third party payers, communicating with practice contacts relative to denied claims and acting as a liaison between the practices or departments, acting as a liaison between team members and Manager for non human resource issues. Does not provide direct patient care: age specific competency is not applicable.
Requirements: High School graduate or equivalent. Minimum of two years relevant experience, including knowledge of insurance billing, medical terminology and basic collection laws. Knowledge of corporate credit and collection policies and procedures.
Skills: Excellent skills with personal and mainframe computers and word processing. High level of interpersonal communication skills. Ability to deal with difficult customer situations.
OUR PURPOSE & VALUES:
Our mission is to provide exceptional healthcare services in a safe and trustful environment through expertise, commitment and compassion of our team members, with the vision of safe, reliable, high quality care for each patient, every day.
How do we make this happen? By creating and maintaining a culture where our values of compassion, integrity, citizenship, service excellence and community are lived out in observable behaviors during all interactions.
ABOUT CENTRAL MAINE HEALTHCARE:
Central Maine Healthcare (CMH) is an integrated healthcare delivery system serving 400,000 people living in central, western, and mid-coast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital, and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center, and other high quality clinical services.
About Central Maine Medical Center
Central Maine Medical Center (CMMC) located in Lewiston, is a Level II Trauma Center serving Androscoggin County and the surrounding region. "CMMC's Centers of Excellence" include the Central Maine Heart and Vascular Institute, the Central Maine Comprehensive Cancer Center, the Neonatal Intermediate Care Unit, and a Trauma Services Program. CMMC is also the southern Maine base for LifeFlight of Maine, the state's only medical helicopter service. Supported by the latest technologies, CMMC's skilled professionals provide outstanding care delivered with compassion, kindness, and understanding. Learn more at: www.cmmc.org.
About Bridgton Hospital
Part of Central Maine Healthcare, Bridgton Hospital serves the town of Bridgton and surrounding areas in Maine as part of an integrated regional healthcare system committed to improved access and a uniform standard of care. Bridgton Hospital was named as one of 17 top rural hospitals in the nation for the third consecutive year in 2018.
About Rumford Hospital
Part of Central Maine Healthcare, Rumford Hospital serves the town of Rumford and surrounding areas in Maine as part of an integrated regional healthcare system committed to improved access and a uniform standard of care. In 2018, Rumford Hospital was named one of 17 top rural hospitals in the nation by the Leapfrog Group; in 2016, it was designated a Pathway to Excellence® organization by the American Nurses Credentialing Center. Learn more at: www.rumfordhospital.org.
Central Maine Healthcare is equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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