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Document Specialist Lead

If you're looking for an opportunity with a rapidly growing tech company in the healthcare sector, look no further! We're once again expanding our team and looking to add a team lead for our growing group of Document Specialists.

The Document Specialist Team Lead supervises a team of Documentation Specialists to ensure all external and internal SLAs are met. This position also tracks, monitors and analyzes team quality, organization of electronic medical record files, hospital itemized bills and claims workflow for DRG or Hospital Itemized Bill (IBill) review. This position will also work with IT to build and test new processes and efficiencies.

Essential Duties and Responsibilities:

  • Manage incoming DRG and IBill claim hygiene by assigning claims to team members
  • Evaluate performance of team by monitoring IBill claim hygiene and Medical Record bookmarking volumes and speed.
  • Coordinate with both the internal IBill team and the external data entry team to manage import queue, assign statuses, scan notes, perform balance reconciliation, compare charges to appropriate forms, identify and update data entry errors, and route completed files to appropriate auditors.
  • Analyze data and identify trends from various reports and communicate to several internal and external teams paying special attention to status updates, claims routing, data entry efficiency, claim status, inventory, and volume.
  • Act as a gateway between auditing team and production support by assisting with support tickets from clients and seeing them through to resolution.
  • Act as lead contact between data entry and auditing teams, monitoring appropriate volume levels, verifying effective data transfer protocols, and tracking file sharing avenues.
  • Manage the intake and output of files between client and data entry teams (internal and external) by handling reporting and communication regarding questions, discrepancies, and errors.
  • Maintain positive working relationships with any external vendors and ensure all contracted SLAs are met.
  • Conduct bi-weekly and monthly meetings with our data entry partners to include discussion of error reporting, turnaround time, forecasting, troubleshooting, and trended data
  • Compile and analyze various data and forecast trends, communicating results to the leadership team.
  • Identify solutions to bugs or errors in production environment utilizing team feedback and service tickets.
  • Develop and maintain standard operating procedures and other written material/guidelines.
  • Other duties as assigned.

Job Requirements:

Skills, Knowledge, Education, and Experience

  • Experience with OCR processes preferred
  • Experience managing small teams preferred
  • Minimum 1-year experience in medical record review with a demonstrated knowledge of medical terminology required

Computer Equipment and Software

  • Employee should have intermediate skills with computers, including Microsoft Office Suite and Adobe Acrobat, the use of multiple monitors, and can learn and adapt to all company-specific software

Physical Demands

  • Requires the ability to sit or stand for long periods of time, occasional stooping, and reaching; May require lifting up to 25 pounds; Requires a normal range of vision and hearing with or without accommodations; Position is not substantially exposed to adverse environmental conditions

Job Type: Full-time

Pay: $77,000.00 per year

Company
ClaimLogiq
Posted
11/24/2021
Salary Range
$33,000.00 - 58,000.00
per Year
Salary range estimated by
Location
Charlotte, NC 28105, US