Team Lead, Account Follow-Up Services

Key Responsibilities

• Own performance across one or more Insurance Follow-Up teams (or multiple clients).
• Set daily/weekly/monthly targets for productivity, quality, and collections, ensuring adherence to service-level expectations.
• Lead KPI governance (Days in A/R, A/R > 90, denial rate, overturn rate, net collection rate, first-pass resolution, productivity per FTE, quality).
• Build and present performance reviews and executive-ready reporting; drive corrective action plans.
• Lead payer trend analysis and root-cause programs to reduce preventable denials (eligibility, auth, coding/modifiers, timely filing, medical necessity, COB).
• Standardize best practices for appeals, reconsiderations, and payer escalations.
• Partner with leadership on payer playbooks and escalation pathways; ensure consistent documentation standards.
• Design and maintain scalable training programs, SOPs, and payer-specific job aids.
• Establish QA frameworks and audit cadence; monitor error trends and implement remediation plans.
• Develop team leads and high-potential staff through structured coaching and succession planning.
• Drive workflow optimization through queue design, inventory management, and prioritization strategies.
• Recommend technology improvements (automation, templates, dashboards, portal utilization) to increase output and reduce rework.
• Lead change management and adoption for new tools, payer policy updates, and client requirements.
• Collaborate with coding, payment posting, charge entry, eligibility, and client stakeholders to resolve systemic issues impacting AR.
• Participate in client performance calls and support recovery plans for at-risk KPIs.

What We Are Looking For

• 3-5+ years of RCM experience with deep Insurance Follow-Up/Denials expertise.
• 2–4+ years leading teams (supervisor/team lead/manager level).
• Demonstrated success improving KPI outcomes (A/R aging reduction, denial reductions, increased overturn rate, improved collections).
• Strong analytics/reporting capability (Excel required; dashboard/reporting tools preferred).
• Advanced knowledge of payer behavior, denial categories, escalation processes, and appeals best practices.
• Ability to travel when required to client site.

About Us

MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.