Team Lead, Accounts Receivable- Remote

Med Metrix•Parsippany-Troy Hills, NJ

3d•Remote

About The Position

The Team Lead, Accounts Receivable Services supports the management team with the coordination of activities and operations of the Accounts Receivable department. This role involves assisting global team members, providing training, tracking productivity and quality, identifying areas for improvement, and ensuring the timely resolution of outstanding claims.

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.
Understanding of underpayments and credit balance process.
Experience with practice management systems.
Extensive knowledge of individual payor websites, including Navinet and Novitasphere.
Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes.
Proficiency in Microsoft Office Suite, with basic Excel skills.
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.
Maintain confidentiality and a professional attitude at all times.

Nice To Haves

EPIC PB, Allscripts and/or Cerner preferred.

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 the Accounts Receivable team.
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.
Meet and maintain daily productivity/quality standards established in departmental policies and supports training needs identified to ensure teams success in this area.
Meet and maintain quality standards established in departmental policies and supports training needs identified to ensure the teams success in this area.
Use the workflow system, client host system and other tools available to collect payments and resolve accounts.
Adhere 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.
Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
Other duties as assigned.
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.