Lead Accounts Receivable Technician

Great Plains Tribal Leaders Health Board Inc•Rapid City, SD

1d•$24 - $30•Onsite

About The Position

The Lead Patient Accounts Receivable Technician is responsible for overseeing the Accounts Receivable team staff. This is to include tracking remits, nonpays, collection logs, refunds, overpayments, and posting accuracy. Will hold team meetings to address denial trends that need to be relayed to the Business Office Manager. The Lead Patient Accounts Receivable Technician strengthens GPTLHB’s mission by overseeing the Accounts Receivable team, ensuring accuracy in payment posting, tracking remittance advice, managing and reconciling collection logs, refunds, and overpayments, and maintaining thorough documentation. This position enhances the delivery of quality healthcare services and operational efficiency by ensuring the most accurate retrieval of payments.

Requirements

High school diploma or GED and one (1) year of relevant experience.
Accounts Receivable experience including recording and posting payments to accounts.
Two (2) years of accounting experience to understand and perform the major duties of the position, and to be able to answer questions and resolve problems.
Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA) and the Privacy Act of 1974.
Ability to lift and carry office materials or supplies up to 25 pounds occasionally.
Must be able to read, write, speak, and hear.

Responsibilities

Provides leadership and oversight of all daily activities related to the billing coordinators related to performance management.
Subject matter expert for all things accounts receivable
Holds weekly AR team meetings to address any denial trends, issues or questions.
Assists in creating best workflows for all AR job duties.
Makes sure all posting is done within 3 business days based on the BSL report
Assigns all posting assignments at the beginning of the day
Works closely with the finance department to reconcile the collection log as well as bank accounts.
Follows up on all missing payments for medical/dental/vision/pharmacy
Ensure quality control over processes spanning the functional areas that impact billing and revenue.
Maintains accounts by reviewing documents to verify accounting data as necessary, entering data into the system.
Logs all payments from all bank accounts on the collection logs
Receives and downloads all remittance advice received reflecting the bank payments received
Post all medical and pharmacy payments in RPMS
Post all dental payments in Dentrix
Post and assign denials in Inovalon
Handle all refunds and overpayments that come by mail/fax
Research and resolve errors and inaccuracies pertaining to claim posting
Post payments or adjust claims to close out.
Communicates denial trends to Business Office Manager and staff to ensure follow-up on claims.
Maintains assignment of denied claims for further review to each billing coordinator.
Provides information and assistance pertaining to insurance payments
Work aging claims and remit denials
Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA) and the Privacy Act of 1974.
Performs any other related business office duties requested by the Business Office Manager and/or Senior Director of Patient Accounts.