Job Details
Job Description - Registration Team Lead (3295305)About UsAs a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.We re focused on a people-first culture for our system s patients and our professional family. That s why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development and we recognize success at every step.Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.General OverviewThe PSC PB Registration Team Lead functions under the general supervision of the department manager.
The Team Lead s responsibilities include resolution of all bills within the Professional Billing production cycle, resolving EDI issues, maintaining effective communications with application support team, payors and/or clearing houses as well as manage the end users support of any relevant complementary applications .
This position will be responsible for implementing and monitoring organizational/operational department objectives while ensuring all policies and procedures are adhered to while managing the completion of all Professional Billing related tasks .Principal Duties and ResponsibilitiesSupport and educate end users with Epic Revenue Cycle and complementary applicationsAnswer end user how-to questionsDocument and analyze business processes and help drive business process improvement workflowsUnderstand user requirements; translate them to functional requirements and assist end user with Epic request submissionsAnalyze business processes to ensure accurate system configurationAssist with developing and executing user acceptance testing plans including creation of test casesParticipate in regular team meetings to discuss team and project/program related activities, issues, changes, and communications as neededProvide service to users, according to the defined service level agreements Adhere to recognized project management tools and methodologiesAssist in identifying and recommending best practices for business analysis, training and end user support functionsDevelop and direct the unit by defining objectives, tracking progress and identifying goals. Assess current and future resource requirements to ensure appropriate and adequate staffing, equipment and suppliesParticipate in
professional development activities to keep current with trends and practices in health care technological and operational compliance issues.Manage EDI relationships, communications, and interactions with payors as well as the Professional Billing managers. Build and support staff to be expert resources related to technical and business payor issueMake recommendations to improve financial performance based on innovative and technical plans/goals set forth by senior managementWork with Manager to hire and retain staff and oversee unit orientation, facilitate training and performance development, and assist Manager with performance feedback.Participate in system enhancements, upgrades and
IT initiatives when necessary.
Make recommendations for support of revenue cycle management within the context of the Epic systems planning.
Assist with implementation as neededIdentify and resolve EDI issues, and facilitate appropriate escalation for timely resolutionDocument and diagram business processes to ensure accurate system configurationCreate and run reports as needed using tools such as WorkbenchRequires minimal direction from leadership and possesses the ability to learn quicklyUse/s the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & CollaborationCoordinates the follow up work for the PBS WQ/Research Team ensuring HB research, patient call backs, PB and HB Return WQs,Organize and coordinate department workflowsDistribute daily work to ensure goals are met as established by the unitAssist management in handling complex issues and work to resolve issues, particularly as it relates to timely filing issuesUnderstand and monitor all daily claim files using Epic, Xclaim, ICM and other reporting toolsPerform root cause analysis and translate day to day issues into specific and actionable resolution stepsAssist in the research, review, and analysis to raise and report problems as necessaryAttend required meetings with Management to discuss issuesAssist in training and education of staffAdhere to the organization s HIPAA Privacy guidelinesLiaison between Group Practice Management (GPM) and PB Registration to ensure that all tasks in Integrated Coding Module (ICM) are completed within the required timeframeAssign batches in the Batch Control Database to team members and notify Charge Entry when completed.Performs other duties, tasks, or projects as assignedQualificationsEducationAssociate s degree or higher preferredExperienceMinimum of two years experience working within Patient Accounts requiredMinimum of five years working in a healthcare receivables environment requiredThorough knowledge and understanding of Explanation of Benefits, professional and hospital billing processA combination
of education and experience may be substituted for requirementsExperience with Epic hyerspacePrimary Location
Primary Location
MA-Somerville-MGB Assembly RowWork Locations
MGB Assembly RowJob
Job
RegistrarOrganization
Organization
Mass General BrighamSchedule
Schedule
Full-timeStandard Hours
40Shift
Shift
Day JobEmployee Status
Employee Status
Regular
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