Team Lead, Accounts Receivable Services
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Job Description
Remote Accounts Receivable Team Lead coordinating medical billing teams, claims follow-up, appeals, and payment recovery for Med-Metrix.
Responsibilities:
- Support management with coordination of Accounts Receivable department activities and operations
- Assist global team members by answering questions and providing support
- Provide initial training on the client host system
- Track productivity and quality of Accounts Receivable Representatives
- Conduct one-on-one evaluations to identify improvement opportunities
- Follow up with payers to resolve outstanding claims via phone, email, fax, or websites
- Maintain departmental productivity and quality standards and support identified training needs
- Use workflow, client host, and other systems to collect payments and resolve accounts
- Adhere to client/team policies and procedures
- Initiate appeals and submit accurate requests, supporting documentation, and communications
- Analyze and resolve issues causing payer payment delays
- Analyze and trend claims issues to proactively reduce denials
- Identify and correct medical billing errors
- Protect and disclose patients’ PHI in accordance with HIPAA
- Comply with Information Security and HIPAA policies and limit PHI access to the minimum necessary
- 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, and/or Hospital
- Experience with training new users required
- Knowledge of the denied claims and appeals process required
- 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
- Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
- Strong interpersonal, written, verbal communication, problem-solving, creative, judgment, integrity, dependability, confidentiality, and stress-management abilities
- Ability to follow directions, collaborate with others, handle stress, and perform the stated physical demands
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