10000-50027-003010 PFS AR Team LeadPosition Objective:The Patient Financial Services Accounts Receivable Team Lead will directly oversee the daily processing of the accounts receivable functions for their assigned area.  Monitors work queues and identifies accounts that underpaid/unpaid or have line item denials for resolution. Works closely with PFS Management to identify workflow or procedural processes to enhance the collection of outstanding balances.  The PFS AR Team Lead is the subject matter expert for their accounts receivable function and the first point of escalation for staff questions and customer service support.  Ensures maximum cash flow and protects Luminis Health from losses by the development of processes within their assigned revenue cycle functions. The PFS AR Team Lead will monitor staff performance (e.g. productivity, quality) and meets regularly with colleagues to review results and to identify ways to improve performance in an effort to enhance revenue. In addition, may be required to oversee special projects for any payer or team.  Essential Job Duties:Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions1. Interacts with industry-wide peers, state, federal and local regulatory agencies to ensure compliance with reimbursement requirements and statutes.2. Implements and remains current on all regulatory and governmental agency requirements regarding billing & reimbursement for their assigned payers.3. Supports PFS Management in staff training and orientation of team members.4. Actively participates in the development of written procedures and staff training materials. Facilitates staff training sessions under the direction of PFS Management.5. Protects the hospital from losses by completing reviews and audits of the accounts receivable for accurate and timely reimbursement.6. Facilitates resolution of customer billing inquiries or problems, contacts patient and/or guarantor as appropriate.7. Provides support to cash management for their area.8. Reviews, addresses, and monitors credit balances to assure compliance with regulatory and contractual obligations.9. Researches and resolves high dollar account issues & appeals for all payers as directed by PFS Management.10. Participates with the development, implementation, and reporting of staff performance indicators. Also acts as a liaison and resource to PFS staff and management.Educational/Experience Requirements:·         AA or BS in Finance or equivalent in industry-wide experience is preferred.·         Knowledge of Microsoft office products - Word, Excel, Power Point and Access is required.·         Direct experience with their functional area is required.·         Knowledge of claims processing procedures, and standard ANSI denial codes and remark codes.·         Knowledge of medical terminology and demonstrated coding background is preferred.·         Experience with various payer regulations & appeals resolution is strongly preferred.Required License/Certifications: Minimum of CRCS Certification requiredWorking Conditions, Equipment, Physical Demands:There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.Physical Demands -Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.The above job description is an overview of the functions and requirements for this position.  This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Luminis Health Benefits Overview:
• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more
*Benefit offerings based on employment status