Job description
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 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, 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 against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.