Team Lead, Accounts Receivable- Remote

About the Role

The Team Lead, Accounts Receivable Services supports the management team with the coordination of activities and operations of the Accounts Receivable department.

Responsibilities

• Assist global team members by answering questions and providing support for their ongoing success
• Provide initial training on the client host system
• Assist in tracking productivity and quality of Accounts Receivable Representatives
• Identify areas of opportunity for improvement through one-on-one evaluation of Accounts Receivable team
• Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
• Meet and maintain daily productivity/quality standards established in departmental policies and support training needs identified to ensure team success
• Use the workflow system, client host system, and other tools available to collect payments and resolve accounts
• Adhere to the policies and procedures established for the client/team
• Knowledge of timely filing deadlines for each designated payer
• Initiate appeals when necessary
• Identify and correct medical billing errors
• Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process
• Analyze, identify, and resolve issues causing payer payment delays
• Analyze, identify, and trend claims issues to proactively reduce denials
• Act cooperatively and courteously with patients, visitors, co-workers, management, and clients
• Other duties as assigned
• Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

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, and/or Hospital
• 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-oriented approach
• Excellent written and verbal communication skills
• Maintain confidentiality and a professional attitude at all times

Working Conditions

• Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
• Physical Demands: Occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals, and telephones; extend arms; kneel; talk and hear
• Mental Demands: Must be able to follow directions, collaborate with others, and handle stress
• Work Environment: The noise level in the work environment is usually minimal