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