AR Team Lead

Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 200 providers and 500 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 subspecialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic research and leadership roles.DHMG is also heavily involved in preparing tomorrows healthcare providers. DHMG has 84 medical school students and approximately 200 residents and fellows throughout the 25 academic programs. Clinical services are complemented with translational and bench research to augment medical education for residents and students. The mission of Dignity Health Medical Group is consistent with Dignity Healths mission and St. Josephs guiding principles with a focus on innovative clinical care and the pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system DHMG has full access to the staff and all facilities on our hospital campuses. This unique relationship with our hospital allows Dignity Health Medical Group to provide its patients with state-of-the-art patient services including care of the poor and disenfranchised.Look for us on Facebook and follow us on Twitter.For the health of our community ... we are proud to announce that we are a tobacco-free campus

This is a working lead position responsible for providing direction to lower level collectors. Under general direction leads the insurance accounts receivable collection team in the Physician Business Services Department. Ensures departmental compliance with applicable laws and regulations; and performs other related duties as assigned. Ability to lead train and evaluate new and current staff.

• Acts as a lead over the accounts receivable collector teams; provides training, mentoring, and direction to collectors; reviews the work of other collectors to ensure compliance with departmental policies; identifies patterns of improper billing and resolves problems and issues.
• Applies advanced and demonstrated knowledge of a wide range of policies and procedures for the area.
• Manages multiple projects with varying priorities.
• Maintains average QA percentage at the rate established for the Fiscal Year goal
• Performs follow up on any outstanding accounts and obtains commitment for payment from insurance carrier via ETM views.
• Maintain productivity percentage at the rate established for the Fiscal Year goal.
• Works with Account Representatives to ensure reconsiderations and appeals are compelling; documentation supports the request; and filed within a timely manner.
• Acts as a highly skilled specialist and subject matter expert in one or more areas. Integrates understanding of departmental issues and how related areas interact to achieve results.
• Utilizes best practice processes around work assignments, project management, and quality of output while maximizing overall team performance.
• Improves efficiency, quality and service of ongoing work.
• Completes complex tasks in a creative way requiring considerable independent judgment.
• Stays abreast of current coding, payer and government changes; assists in documenting and communicating changes to unit and provides retraining as required; writes in a clear and understandable manner.
• Makes recommendations for policy or process improvement for work group.

Dignity Health now offers an Education Benefit program for benefit-eligible employees.  This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, and adoption assistance.

MINIMUM

High School Diploma/GED required

Four (4) years job related experience required.

Knowledge of financial data analysis.

Medicare and Medicaid regulations, third party reimbursement, charging and coding guidelines.

Proficient in CCI, LMRP, coding, use of modifiers.

Proficient in all aspects of reimbursement (i.e., benefit investigations, payer reimbursement policies, regulatory, and administrative rules).

Adept in physician and insurance reimbursement and billing concepts and procedures, as well as laws and regulations affecting payment compliance, denials, and appeals recovery.

Proficient understanding of medical coding systems affecting the adjudication of claims payment.

PREFERRED

Two years relevant college education preferred.

Certified professional coder (CPC)

Working knowledge of any regulatory, coding, billing, and accounting as it relates to the position.