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Team Lead, Patient Financial Services

Facility: CHS Services Inc Location: Melville, NY Department: PFS Category: Administrative / Business Support Schedule: Full Time Shift: Day shift Hours: 8am-4pm ReqNum: 6018616

Catholic Health Services of Long Island (CHS) is an integrated health care delivery system with some of the region's finest health and human services agencies. CHS includes six hospitals, three skilled nursing facilities, a regional home nursing service, hospice and a multiservice, community-based agency for persons with special needs. Under the sponsorship of the Diocese of Rockville Centre, CHS serves hundreds of thousands of Long Islanders each year, providing care that extends from the beginning of life to helping people live their final years in comfort, grace and dignity.

Under the direction of the Supervisor, the Patient Financial Services Department Team Lead is a resource available to the staff as well as a support to the Supervisor. The lead is responsible to conduct staff quality reviews, identify and assist with training needs, review and escalate high-dollar cases, and prepare the team for discussions with payer.

Responsibilities:

  • Identify staff training needs and assist with delivery of various training programs
  • Notify Supervisor of existing policies and procedures that require updating and new processes that require documentation and implementation.
  • Create, update, and preparing reports and spreadsheets for assigned payers.
  • Transfer accounts in workstation as needed for alternative follow up measures
  • Evaluate and resolve high dollar accounts timely to prevent financial losses. Escalate payer issues as appropriate
  • Identify and communicate root causes for failed bills/ claims. Assist the Supervisor to resolve systemic and operational issues
  • Address and/ or resolve credit balances as assigned according to department policy
  • Review and approve staff recommendations for write off, in accordance with the Departmental policy
  • Meet and/ or exceed weekly productivity and quality standards for assigned worklists/ work queues
  • Conduct quality reviews for staff in accordance with Departmental policy

Requirements:

  • High School diploma or equivalent required.
  • 2 +years' experience in Hospital insurance billing and/ or follow up, knowledge of third party insurance in regards to plan types (HMO/PPO/POS and Indemnity) including payment posting, required
  • Strong data entry skills; ability to input and compile high volume of information
  • Proficient 10 key skills, subject to testing
  • Attention to detail ability to maintain speed while upholding accuracy
  • Knowledge of CPT, ICD-9 or medical terminology preferred
  • Ability to perform analysis and discuss with Supervisor/ Manager
  • Proficient in Microsoft Office: Word and Excel, subject to testing

At Catholic Health Services of Long Island your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.

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  • Administrative / Business Support, Melville, New York, United StatesRemove