Team Lead - Pre-Service Remote

We are growing… come grow with us!

Are you looking to join a company that values their employees and offers opportunities for career growth? Surgery Partners Shared Service Center is looking for motivated employees to join their team remotely! Competitive pay and full benefits offered, as well as comprehensive training to ensure success. Surgery Partners prides itself in promoting a culture of diversity and inclusion. Our Shared Service Center has a supportive management team committed to providing the tools needed for a successful team focused on collaboration, communication, and individual growth potential.

Surgery Partners owns and operates more than 180 locations in 32 states, including surgical facilities and ancillary services comprised of multi-specialty physician practices and anesthesia services. Apply now to explore joining our fast-paced and growing team!

GENERAL SUMMARY OF DUTIES: Responsible for assisting with all functions associated with authorizations, Referrals, preservice collections of patient responsibility.  Must be an effective communicator who can express himself/herself daily in a professional manner both verbally and in writing as well as be a proactive professional who can identify trends and solve them in a timely manner.

SUPERVISION RECEIVED: A/R Manager

ESSENTIAL FUNCTIONS: 

1. Insurance verification and eligibility
2. Insurance pre-authorization/pre-certifications 
3. Counseling patients and families on insurance and payment issues prior to surgery
4. Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the billing system in an accurate and timely manner
5. Confirms and revises all patient payer information
6. Accurately documents all necessary data points
7. Evaluates patient financial status and establish contract payment plans.
8. Keeps informed on all current Medicare, Medicaid and third party payor regulations and requirements. Informs management and other staff members of changes and keeps documentation current and accessible.
9. Distribute, assign, and follow up on assigned work to team members.
10. Motivate, and supervise team members.
11. Performs monthly quality audits.
12. Trains team members as necessary
13. Provides input on performance evaluations or corrective action to team members.
14. Other assigned duties as required.

EDUCATION/EXPERIENCE: 

1. High School Diploma
2. 5-7 years of experience with medical office authorization procedures
3. Previous supervisory experience in a remote environment preferred.

KNOWLEDGE:

1. Knowledge of clinic policies and insurance procedures.
2. Knowledge of medical insurance, Medical policies, authorization procedures and payment policies
3. Knowledge of Medicare, Medicaid Billing/Collections, HCPC, CPT, ICD-10 coding.
4. Knowledge of computer systems.
5. Knowledge of medical terminology
6. Knowledge of appeals and denials 

SKILLS:

1. Skill in gathering, analyzing, and reporting.
2. Skill in solving utilization problems.
3. Skill in written and verbal communication and customer relations.
4. Skills in working with Windows based software systems and Microsoft word and Excel.

ABILITIES:

1. Ability to work effectively with medical staff and external agencies.
2. Ability to identify, analyze and solve authorization problems.
3. Ability to deal courteously with internal and external customers.

PHYSICAL/MENTAL DEMANDS:  Requires sitting and standing associated with a normal office environment. 

ENVIRONMENTAL/WORKING CONDITIONS:  Normal busy remote office environment with much telephone work. Occasional evening or weekend work.

This description is intended to provide only basic guidelines for meeting job requirements.  Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.