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
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