Team Lead, Accounts Receivable Services- Remote

Med Metrix•Parsippany-Troy Hills, NJ

9d•Remote

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 assists global team members, provides initial training on client host systems, and helps monitor productivity and quality. It also supports improvement through individual evaluations and training needs identified for Accounts Receivable Representatives. The position works on outstanding claims by following up with payers, resolving payment delays, correcting medical billing errors, and initiating appeals when necessary. The Team Lead uses workflow and client host systems and other available tools to collect payments and resolve accounts, while meeting departmental productivity and quality standards and following client and team policies. The role requires compliance with HIPAA and information security requirements, including limiting access to protected health information to the minimum necessary. Work conditions include use of a smartphone or other application-capable device for multifactor authentication and security purposes. The work environment is usually quiet.

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.
Experience with practice management systems.
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 levels of the organization.
Strong problem-solving and creative skills, with the ability to exercise sound judgment and make decisions based on accurate and timely analyses.
High integrity and dependability, with 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.
Must have a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

Nice To Haves

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

Responsibilities

Answer questions and provide support to global team members.
Provide initial training on the client host system.
Assist in tracking 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 daily productivity and quality standards and support training needs identified to help the team meet those standards.
Use workflow systems, client host systems, 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.
Prepare appeals with accurate request information, supporting documentation, and effective communication to complete the recovery process.
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.
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.
Perform other duties as assigned.