Team Lead, Accounts Receivable Services

Med-Metrix•Red Bank, NJ

1d•$22 - $24

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 and training opportunities. The position follows up with payers to resolve outstanding claims, uses workflow and client systems to collect payments and resolve accounts, and addresses billing errors, appeals, denials, underpayments, and payment delays. The Team Lead is expected to meet departmental productivity and quality standards and comply with client, information security, and HIPAA policies. The role requires a smart phone or electronic device capable of downloading applications for multifactor authentication and security purposes. Work is performed in an environment where noise is usually minimal. 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 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 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.
Possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

Nice To Haves

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

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 opportunities for improvement through one-on-one evaluation 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 daily productivity and quality standards established in departmental policies, and support training needs identified to ensure team success.
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.
Send appropriate appeals with accurate requested 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, co-workers, 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 protected health information to the minimum necessary for assigned duties.
Perform other duties as assigned.