Team Lead, Accounts Receivable Services

Med-Metrix•Red Bank, NJ

About The Position

The Team Lead, Accounts Receivable Services supports the management team with the coordination of activities and operations of Accounts Receivable department.

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
Knowledge of the denied claims and appeals 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
Ability to work well individually and in a team environment
Proficiency with MS Office. Must have basic Excel skillset.
Strong communication skills/oral and written
Strong organizational skills
Work independently from assigned work queues
Maintain confidentiality at all times
Maintain a professional attitude
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.

Responsibilities

Assist global team members by answering questions and providing support for their ongoing success
Provide initial training on the client host system
Assist in tracking productivity and quality of Accounts Receivable Representatives
Identify areas of opportunity for improvement through one on one evaluation of Accounts Receivable team
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
Meets and maintains daily productivity/quality standards established in departmental policies and supports training needs identified to ensure teams success in this area
Meets and maintains quality standards established in departmental policies and supports training needs identified to ensure the teams success in this area
Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts
Adheres to the policies and procedures established for the client/team
Knowledge of timely filing deadlines for each designated payer
Initiate appeals when necessary
Identify and correct medical billing errors
Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process
Ability to analyze, identify and resolve issues causing payer payment delays
Ability to analyze, identify and trend claims issues to proactively reduce denials
Understanding of under payments and credit balance process
Perform special projects and other duties as needed
Act cooperatively and courteously with patients, visitors, co-workers, management and clients
Other duties as assigned by the management team
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties