Team Lead, Revenue Cycle Operations

Job Summary :

The Team Lead, Revenue Cycle Operations is responsible for providing leadership and direction to the team to ensure the goals and standards of the department and CareSource are met.

Essential Functions :

• Ensures team is meeting all service level agreements (SLAs) and follows all regulatory guidelines
• Gather, analyze, and report data related to the performance of the department to ensure maximum level of productivity
• Utilize key accounts receivable and reporting experience and knowledge to ensure timely and accurate recording and reporting of accounts receivable activity.
• Manage staff for quality review, performance feedback, disciplinary issues and merit / bonus appraisal review
• Maintain and communicate key performance indicators and other pertinent information to leadership and others
• Responsibility for training and development of staff
• Facilitate timely resolution of member issues using workflow system
• Manages the timely and accurate posting of payments to accounts receivable.
• Coordinate incoming information and disseminate to staff to ensure accuracy of communication to internal and external customers
• Work with Regulatory Compliance Officers to ensure that requests are resolved within time lines and tracked for reporting
• Review and interpret regulatory requirements and ensure business policies and processes are in compliance
• Create, review, revise and enforce company policies / procedures and departmental standard operating procedures (SOPs)
• Develop a culture of accountability and flexibility within the team to support the organizational mission and vision
• Participate in ongoing development of new products and technologies
• Identify opportunities for process improvements and initiate efforts using accepted continuous improvement methodologies (DMAIC, Lean, etc.)
• Perform any other job duties as requested

Education and Experience :

• Associate Degree in business, finance or related field or equivalent years of relevant work experience is required
• Bachelor's Degree in business, finance or related field or equivalent years of relevant work experience is preferred
• Four to six (4-6) years of experience in billing, credit and collections, or customer service experience is required

Competencies, Knowledge and Skills :

• Intermediate proficiency in Microsoft Office Suite to include Word, Excel and PowerPoint
• Strong interpersonal skills, high level of professionalism and a collaborative management style
• Ability to lead and direct the work of others including the development, motivation and rewarding of staff
• Customer service oriented
• Demonstrates decision making and analytical / problem solving skills to perform a variety of complicated tasks.
• Attention to detail
• Possesses critical thinking / listening skills
• Ability to write comprehensive statements using proper grammar and sentence structure
• Training / teaching skills
• Decision making / problem solving skills
• Excellent written and verbal communication skills
• Ability to develop, prioritize and accomplish goals
• Ability to work in a fast-paced environment and manage multiple deadlines

Licensure and Certification :

None

Working Conditions :

• General office environment; may be required to sit or stand for extended periods of time
• May be required to travel occasionally

Compensation Range :

$52,400.00 - $83,900.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly / salary) :

Salary

Organization Level Competencies

Create an Inclusive Environment

Cultivate Partnerships

Develop Self and Others

Drive Execution

Influence Others

Pursue Personal Excellence

Understand the Business