REVENUE RECOVERY TEAM LEAD

MedCentris•Hammond, LA

4d•Onsite

About The Position

Under the direction of the Assistant Director of Revenue Cycle – Revenue Recovery, the Medical Billing & Records Team Lead is responsible for the accurate and timely posting of insurance payments, contractual adjustments, and denials using both electronic and manual posting methods. In addition to billing responsibilities, this position leads and manages the daily operations of the Home Health billing team and Medical Records department, ensuring efficient workflows, compliance with documentation standards, and cross-functional collaboration to support revenue cycle integrity.

Requirements

A minimum of a High School Diploma preferred and two years of Medical Billing and Collection experience.
Working knowledge of EOB’s, EFT’s, and ERA’s
Knowledge of managed care contracts, Medicare, Medicaid, workers comp, and private insurance carriers
Excellent attention to detail
Proficient use of Microsoft Office applications (Word, Excel, Outlook)
Outstanding interpersonal skills and great team player.
Must be able to work independently with a high degree of self-initiative.
Excellent problem-solving abilities.
Ability to work well under pressure and adapt to changes in project priorities.
Demonstrated understanding of medical terminology required.
Knowledge of patient confidentiality and HIPAA regulations
Knowledge of CPT, HCPCS, and ICD10 coding required.
Knowledge of medical billing and collection practices
Knowledge working with electronic health records (EHR/EMR) or healthcare related computer systems.
Practices efficient methods for getting work done; strong ability to prioritize workload.

Responsibilities

Oversee the day-to-day functions of the Home Health billing and Medical Records teams, including task assignment, performance tracking, and training.
Ensure timely posting of miscellaneous, manual, and electronic payments to patient accounts using EFT (Electronic Funds Transfer), ERA (Electronic Remittance Advice), and other accepted methods.
Export all 835 electronic payment files and prepare for posting; resolve edits and report issues accurately.
Post non-EDI payments, contractual allowances, rejection codes, deductibles, and copayments.
Obtain missing ERA/835/EOB documents from payer portals or by phone.
Research and resolve unidentified payments and recoupments for accurate posting.
Ensure all payments are posted to the practice management system within established timeframes (live checks within 24 hours, online credit card payments next business day, EFTs within 72 hours).
Maintain a detailed payment receipt spreadsheet with batch totals, posting dates, and initials.
Balance batches and generate transaction reports for daily reconciliation.
Verify posting of all EFT deposits and scanned checks prior to month-end close.
Identify and resolve credit balances and posting errors at time of entry.
Monitor productivity and quality benchmarks for self and team, taking corrective action as needed.
Support the processing of patient billing statements and accept payments when required.
Maintain up-to-date spreadsheets and daily reports to ensure data accuracy and transparency.
Collaborate with other Revenue Cycle teams and leadership to streamline billing and documentation workflows specific to Home Health services.
Ensure compliance with medical record documentation standards and timely record management.
Perform all other duties as assigned.