DescriptionSHIFT: Work From Home
Job Summary – The Discrepancy Analysis Team Lead is responsible for assisting the Payer Analysis Manager with training and support of the Discrepancy Analysis department which is responsible for verifying the accuracy of calculated discounts and analyzing discrepancies to determine root causes.
Supervisor – Payer Analysis Manager
Supervises – not applicable
Duties (included but not limited to):
*Support the management activities related to the SSC government logging and discrepancy analysis functions.
*Ensure government discrepancy analysis and processes are performed efficiently and effectively including:
*Monitoring and resolution of unpaid claims and month-end governmental reports
*Verification of governmental contract modeling accuracy
*Governmental discrepancy analysis and resolution
*Compliance with policies and procedures
*Batch report corrections
*Medicare Bad Debt management
*Perform Q/A for all key processes within government logging and discrepancy analysis.
*Assist with training of new employees and provide ongoing training and education to staff.
*Meets with the Manager regularly to effectively communicate and resolve issues, set and prioritize goals and improve processes
*Maintain established departmental policies and procedures, objectives, patient, and customer service policies
*Assist manager with development and implementation of project and department action plans
*Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
*Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES
*Organization - proactively prioritizes needs and effectively manages resources
*Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
*Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
*Interpersonal skills - able to work effectively with other employees, patients and external parties
*PC skills - demonstrates proficiency in Microsoft Office applications and others as required
*Leadership - guides individuals and groups toward desired outcome by providing training, advice and feedback to assist/support employees in achieving established performance standards*Tactical execution - assist in monitoring operational processes and making recommendations for changes/adjustments as needed during the implementation or change to new products or processes
*Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
*Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
High School diploma or GED required.
At least one year of related experience required.
CERTIFICATE/LICENSE - N/A
PHYSICAL DEMANDS/WORKING CONDITIONS
Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.