HCA, Hospital Corporation of America Medicare Team Lead - Collections in Hendersonville, Tennessee

 Maintains current knowledge of all office operations, job specific requirements and related regulations

 Assists with staff communication, providing updates, resolving issues, setting goals and maintaining


 Provides ongoing training and education to staff to ensure policies and procedures are followed

 Strives to improve current operations by identifying inefficiencies and recurring problems and by

making suggestions to management and education department

 Directs staff daily to ensure daily work flow is current

 Monitors staff’ performance to ensure expected goals are being met and addresses issues with staff

members if the need should occur

 Meets with Manager regularly to effectively communicate and resolve follow-up issues, set and

prioritize goals, improve processes and reviews follow-up status

 Works as a liaison between team members and management

 Establish working relationships with FI’ and Facility/SSC staff

 Establish and maintains effective relations with staff promoting a positive team environment

 Exercised good judgment and makes sound decisions in the absence of detailed instructions or in an

emergency situation

 Sets a good example for staff by adhering to all office policies and maintain a positive attitude

 Reviews claims for completeness, reasonableness of charges, and appropriateness of billing codes, and

payer information

 Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer

 Handles all incoming phone calls and inquiries in an appropriate manner

 Properly processes and responds to incoming and outgoing correspondence

 Contacts and effectively communicates with all parties involved in the resolution of accounts placed

 Completes work request timely and in accordance with instruction

 Performs all of the tasks necessary to maintain current and accurate account information in each of the

appropriate systems (i.e. entering notes, claims on hold)

 Forwards and logs all documentation related to processes and duties which are transferred to other


 Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor’

attention daily

 Exercised good judgment and makes sound decisions in the absence of detailed instructions or in a

emergency situation

 Treats client request with a high priority. Quickly informs supervisor and any other personnel needed

to help carry out the request timely, accurately, and according to instruction.

 Adapts and conforms to company and client requirements not specified in this job

description/performance review


 Knowledge of Medicare regulations

 Knowledge of UB-04 billing

 Knowledge of ICD-9 and CPT-4 coding

 Analytical and organizational skills

 Ability to identify, set, and follow priorities

 Knowledge of hospital business office operations

 Strong PC and data entry skills

 Ability to communicate effectively with employees, clients, and others

 Character to maintain strict confidentiality


 High school graduate or equivalent


 Preferred minimum of 2 years Medicare claim processing experience

Title: Medicare Team Lead - Collections

Location: Tennessee-Hendersonville-Medicare Service Center

Requisition ID: 08910-123036