The Team Lead Patient Accounting reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
- Consistently exceed the productivity and quality standards established for the Team Lead position in resolving a high volume of phone calls, timely handling of patient concerns and correspondence, while maintaining the Patient First philosophy.
- Act as the first escalation point for conversations with difficult customers, customers who request a supervisor or manager, and customers with complex issues who ask for information that requires in-depth knowledge; recommend corrective services to respond to customer complaints.
- Assist the Patient Accounting Operational Coordinator in the management of people, processes and projects to implement the overall strategies and/or achieve the goals of the Patient Accounting department. Commitment to team development, communication and quality improvement throughout the Patient Accounting process.
- Responsible for providing feedback and mentoring/training for new staff and staff who are not meeting productivity standards.
- Responsible for education and enhancement of customer service to external and internal customers.
- Responsible for maintaining an up-to-date schedule of all staff and phone schedules. Attend training and seminars as assigned and approved by the Patient Accounting Operational Coordinator.
- Work to continually improve processes; ensure timeliness of interactions with patients to improve patient satisfaction and that staff are meeting productivity and quality metrics.
- Receive and direct the public, in person or by telephone, in a professional and courteous manner.
- Answer patient inquiries with the objective of resolving the patient issue in one call or direct inquiries to the appropriate representative or department if the issue cannot be immediately resolved.
- Enter appropriate documentation of all account activity.
- Provide clerical support to the management and supervisory staff as needed.
- Manage early-out vendor return accounts as outlined in the NMHC Self-Pay Collection Procedure.
- Coordinate communication with early-out vendor staff regarding patient accounts, concerns, and complaints as outlined in the NMHC Self-Pay Collection Procedure.
- Enter appropriate documentation of all new insurance information to restart the billing and follow-up cycle as appropriate.
- Respond to patient, payor, and employee inquiries regarding hospital and professional balances, financial assistance applications, and both hospital and clinics visits as they relate to the SBO.
- Seamlessly transition patient calls to and from early out vendor staff as required.
- Provide individual contribution to the overall team effort of achieving the department accounts receivable goal. Identify opportunities for customers, system and process improvement and submit to management.
- Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor.
- Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor.
- Utilize assigned computer hardware and report hardware problems to the appropriate supervisor.
- Participate in the testing for assigned software applications, including verification of field integrity.
- Assist the Patient Accounting Operational Coordinator with special projects and other duties as assigned, as necessary.