Team Lead, Accounts Receivable Services- Remote

Med-Metrix•Parsippany-Troy Hills, NJ

10d•Remote

About The Position

The Team Lead, Accounts Receivable Services supports the management team by coordinating activities and operations of the Accounts Receivable department. The role assists global team members, provides initial training on the client host system, and helps track productivity and quality while identifying improvement opportunities through individual evaluations. The position follows up with payers to resolve outstanding claims, uses workflow and client systems to collect payments and resolve accounts, initiates appeals when needed, and identifies and corrects medical billing errors. The Team Lead analyzes payment delays and claims trends, supports training needs, and meets departmental productivity and quality standards. The role also requires adherence to client and team procedures and to HIPAA and information security policies, including limiting access to protected health information to the minimum necessary. The role requires a high school diploma or equivalent, insurance collections experience, experience training new users, and knowledge of denied claims, appeals, underpayments, credit balances, medical terminology, and billing codes. The work environment is usually minimally noisy. A smartphone or other electronic device capable of downloading applications is required for multifactor authentication and security purposes.

Requirements

High school diploma or equivalent.
Experience in insurance collections, including submitting and following up on claims for a medical practice, medical facility or medical billing company, ambulatory surgical center, and/or hospital.
Experience training new users.
Knowledge of the denied-claims and appeals process.
Understanding of underpayments and the credit balance process.
Extensive knowledge of individual payer websites, including Navinet and Novitasphere.
Knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes.
Proficiency in Microsoft Office Suite, including basic Excel skills.
Strong interpersonal skills and ability to communicate well at all organizational levels.
Strong problem-solving and creative skills, with sound judgment and ability to make decisions based on accurate and timely analyses.
High integrity and dependability, with a strong sense of urgency and results orientation.
Excellent written and verbal communication skills.
Ability to maintain confidentiality and a professional attitude at all times.
Smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.
Ability to follow directions, collaborate with others, and handle stress.

Nice To Haves

Experience with practice management systems; EPIC PB, Allscripts, and/or Cerner are preferred.

Responsibilities

Assist global team members by answering questions and supporting their ongoing success.
Provide initial training on the client host system.
Assist in tracking the productivity and quality of Accounts Receivable Representatives.
Identify improvement opportunities through one-on-one evaluations of Accounts Receivable team members.
Follow up with payers by phone, email, fax, or websites to ensure timely resolution of outstanding claims.
Meet and maintain departmental productivity and quality standards and support identified training needs.
Use the workflow system, client host system, and other available tools to collect payments and resolve accounts.
Adhere to policies and procedures established for the client and team.
Apply knowledge of timely filing deadlines for designated payers.
Initiate appeals when necessary.
Identify and correct medical billing errors.
Submit appropriate appeals with accurate request information, supporting documentation, and effective communication to complete recovery.
Analyze, identify, and resolve issues causing payer payment delays.
Analyze, identify, and trend claims issues to proactively reduce denials.
Act cooperatively and courteously with patients, visitors, coworkers, management, and clients.
Perform other duties as assigned.
Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards.
Comply with information security and HIPAA policies and procedures and limit PHI access to the minimum necessary for assigned duties.