Team Lead, Accounts Receivable Services – Medical Experience Required
Job Description:
- Support the management team with coordination of Accounts Receivable department activities and operations
- Assist global team members by answering questions and providing ongoing support
- Provide initial training on the client host system
- Track productivity and quality of Accounts Receivable Representatives
- Identify improvement opportunities through one-on-one evaluations of the Accounts Receivable team
- Follow up with payers by phone, email, fax, or websites to resolve outstanding claims
- Maintain departmental productivity and quality standards and support identified training needs
- Use workflow systems, client host systems, and other tools to collect payments and resolve accounts
- Adhere to client and team policies and procedures
- Monitor payer timely filing deadlines
- Initiate appeals when necessary
- Identify and correct medical billing errors
- Submit accurate appeals, requested information, supporting documentation, and effective communication to complete recovery processes
- Analyze, identify, and resolve issues causing payer payment delays
- Analyze, identify, and trend claims issues to proactively reduce denials
- Interact cooperatively and courteously with patients, visitors, coworkers, management, and clients
- Use, protect, and disclose protected health information only in accordance with HIPAA standards
- Perform other duties as assigned
Requirements:
- High School diploma or equivalent required
- Experience in insurance collections, including submitting and following up on claims for a Medical Practice, Medical Facility/Medical Billing Company, Ambulatory Surgical Center required
- Experience with training new users
- Knowledge of the denied claims and appeals process
- Understanding of underpayments and credit balance process
- Experience with practice management systems; EPIC PB, Allscripts and/or Cerner preferred
- Extensive knowledge of individual payor websites, including Navinet and Novitasphere
- Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes
- Proficiency in Microsoft Office Suite, with basic Excel skills
- Strong interpersonal skills and ability to communicate well at all levels of the organization
- Strong problem-solving and creative skills, with the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability, with a strong sense of urgency and results orientation
- Excellent written and verbal communication skills required
- Maintain confidentiality and a professional attitude at all times
- Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
- Ability to follow directions, collaborate with others, and handle stress
- Must comply with HIPAA and information security policies and procedures
- Must limit viewing of PHI to the absolute minimum necessary to perform assigned duties
Benefits:
- No benefits, perks, or compensation extras are specified in the posting
