Reimbursement Benefit Team Lead

Overview

The Reimbursement Benefit Team Lead is the daily workflow contact point for team members and will provide daily guidance and a collaborative environment to engage the team in meeting weekly/monthly/quarterly goals. The Team Lead is responsible for coordinating and resolving escalated issues, ensuring quality within the team by assisting with updating procedures and ensuring staff understands the procedures. This individual will keep management updated on team performance, act as a back up to the supervisor, as well as coordinate and lead process improvement initiatives and training activities for team members.

Responsibilities

• Verify eligibility and durable medical equipment benefits of patient medical insurance
• Facilitate maintenance of accurate and complete documentation in databases and patient files according to procedures and requirements
• Provide department training or retraining to new or existing team members
• Work in conjunction with management to write, update and train on procedures ensuring all team members understand
• Assist in developing metrics and report to the team and management regularly
• Function as a department resource for payer, eligibility and benefits
• Provide team members successes, feedback and concerns to management for coaching
• Manage complex insurance verifications and provide follow-up as assigned by management
• Facilitate maintenance of accurate and complete documentation in databases and patient files according to known procedures and requirements
• Collaborate with Authorization Coordinators as needed, including benefit re-verification
• Act as a Subject Matter Expert as necessary in cross-functional meetings/projects
• Work with management to identify interdepartmental efficiency improvements
• Other duties as assigned
  
  

Qualifications

Education & Experience

Required

• Bachelor's degree or 3+ years' experience with medical insurance benefits
• Experience with MS Office Suite (Word, Excel, Access, PowerPoint, Visio, SharePoint) and ability to learn, understand and apply new technologies
  
  

Preferred

• Knowledge of medical terminology and experience with DME
• Experience training in a small or large group setting
  
  

Knowledge & Skills

• Able to provide on-going communications to the field, payers, peers and management
• Excellent communication and leadership skills
• Strong sense of urgency and superior time management skills
• Demonstrated organizational, teamwork, and interpersonal skills
• Proven ability to multi-task to meet required deadlines
• Solid ability to proactively identify issues and efficiencies and propose solutions
• Ability to perform all job duties while maintaining compliance with regulatory requirements including HIPAA
  
  

Below is the starting salary range for this position, although offers may differ based on the candidate's location, job-specific knowledge, skills and experience.

$25.24 - $35.34 / HR

Additional Benefits

non-exempt - Our total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts. Benefits may be subject to generally applicable eligibility, waiting period, contributions, and other requirements and conditions.