Patient Benefit Advocate Team Lead

Company: Change Healthcare Solutions, LLC
Location: Hampton
Posted on: June 12, 2021

Job Description:

Patient Benefit Advocate Team LeadOverview of PositionThe Patient Benefit Advocate Team Lead needs to perform all requirements of Level 1 and Level 2 PBA TPC . They are responsible for working Epic Charge Review and Claim Edits WQ's. They handle reconciliation of accounts, update files and system actions in the hospital system.They will work accounts 25%-30% of the time and assign work to other PBA team members.What will be my duties and responsibilities in this job?Be knowledgeable of customer process and how to investigate for TPL coverageWork with other client teams and perform tasks of similar nature to current clientsResponsible for fielding questions from a Level 1 and Level 2Onsite training for new and existing employeesAdditional QA support including QA returns to a customer for Level 1 and Level 2 and make determination on releasing Level 1 to do their own denials/returns (which would allow them to become a Level 2)Resolving escalations.What are the requirements needed for this position?High School Diploma or GED. Bachelor's Degree PreferredMinimum of 1 year revenue cycle (ex: insurance billing, collections) experience including Health Insurance Appeals experienceExperience with Epic softwarePreferred 1-year experience at Level 2 Patient Benefit AdvocateFull understanding of the revenue cycleUnderstanding of Worker's Comp and PIP/Med PayWorking knowledge of EOB/EOR'sProperty and Casualty (Auto Insurance, Workers' Compensation) experience preferredSubrogation and Coordination of Benefits experience preferred.General knowledge of commercial health, Medicare, Medicaid, Auto, Work Comp InsuranceUnderstanding of clinical coding and medical terminologyLeadership experience preferredWhat other skills/experience would be helpful to have?Strong attention to detail.Ability to handle multiple tasks.Forward thinking.Exhibits professionalism with various levels of employees and customers.Demonstrated ability to work with limited supervisionOnsite training for new and existing employees.What are the working conditions and physical requirements of this job? This position works onsite within a hospitalPosition may include walking, sitting and standingUse of computer and phoneJoin our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here view our pay transparency nondiscrimination policy.California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understoodChange Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Keywords: Change Healthcare Solutions, LLC, Hampton , Patient Benefit Advocate Team Lead, Other , Hampton, Virginia