Team Lead, Accounts Receivable Services

Med Metrix•Red Bank, NJ

About The Position

The Team Lead, Accounts Receivable Services supports the management team by coordinating activities and operations within the Accounts Receivable department. The role supports global team members, provides initial training on the client host system, and helps track representatives’ productivity and quality while identifying opportunities for improvement through one-on-one evaluations. The position works to resolve outstanding claims and collect payments using workflow and client host systems and other available tools. It includes following up with payers, initiating appeals, identifying and correcting medical billing errors, and analyzing payment delays and claims trends to help reduce denials. The Team Lead is expected to meet departmental productivity and quality standards, follow established client and team policies, and support identified training needs. The employee must handle patients’ protected health information in accordance with HIPAA and information security policies, limit access to the minimum necessary for assigned duties, and maintain confidentiality and professionalism. The role requires a smart phone or other electronic device capable of downloading applications for multifactor authentication and security purposes. The work environment is usually quiet; the employee must be able to follow directions, collaborate, and handle stress.

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 denied claims and the 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 the ability to communicate effectively at all levels of the organization.
Strong problem-solving and creative skills, with sound judgment and the ability to make decisions based on accurate and timely analyses.
High integrity and dependability, a strong sense of urgency, and a results-oriented approach.
Excellent written and verbal communication skills.
Ability to maintain confidentiality and a professional attitude at all times.
Possess a 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

Answer questions and support global team members in their ongoing success.
Provide initial training on the client host system.
Assist in tracking Accounts Receivable Representatives’ productivity and quality.
Evaluate team members individually to identify opportunities for improvement.
Follow up with payers by phone, email, fax, or websites to resolve outstanding claims in a timely manner.
Meet departmental daily productivity and quality standards and support training needs identified for the team.
Use workflow systems, the 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 payer timely filing deadlines.
Initiate appeals when necessary.
Identify and correct medical billing errors.
Prepare appeals with accurate requested information and supporting documentation, and communicate effectively to complete the recovery process.
Analyze, identify, and resolve issues that cause payer payment delays.
Analyze, identify, and trend claims issues to proactively reduce denials.
Interact cooperatively and courteously with patients, visitors, coworkers, management, and clients.
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 viewing of PHI to the minimum necessary for assigned duties.
Perform other duties as assigned.