Team Lead, Accounts Receivable- Remote
Job Purpose The Team Lead, Accounts Receivable Services supports the management team with the coordination of activities and operations of Accounts Receivable department.
Duties and 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 supports training needs identified to ensure teams success in this area
- Meet and maintain quality standards established in departmental policies and supports training needs identified to ensure the teams success in this area
- 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
- Ability to analyze, identify and resolve issues causing payer payment delays
- Ability to 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
Qualifications
- 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, ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and 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
- Excellent written and verbal communication skills required
- Maintain confidentiality and a professional attitude at all times
Working Conditions
- Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
- Physical Demands: While performing the duties of this job, the employee is 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: The employee must be able to follow directions, collaborate with others, and handle stress.
- Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate a