Team Lead, Follow Up

Ovation Healthcare•Boise, ID

10d•Remote

About The Position

As a Follow Team Lead, this position assists the Follow Up Managers to oversee the operations of the Follow Up team. The position will entail identifying opportunities to improve efficiency and overall process improvement for the assigned responsibilities. The position will oversee the day-to-day operations of the team to keep the staff on task. The position requires building successful working relationships with the Follow Up staff on and offshore and directly reports to the Follow Up Managers.

Requirements

High school diploma or equivalent required.
1-2 years' experience of AR Follow-Up
Experience in Professional CMS 1500 Billing, Multiple Clearinghouses, Billing Systems, EMR’s
Knowledge of Multiple States Billing Requirements, Commercial and Government Payers
Analytical & Critical Thinking Skills.
Billing & Compliance Knowledge
Leadership Skills
Strong attention to detail and commitment to accuracy.
Ability to work both independently and as part of a team.
Strong communication skills (both written and verbal).
Excellent organizational skills with the ability to manage multiple tasks and prioritize effectively.
Ability to handle sensitive patient information with discretion and confidentiality.

Nice To Haves

Associate’s or Bachelor’s degree in healthcare administration, medical assisting, or a related field preferred.

Responsibilities

Monitor timecards and time off calendar.
Coordinate and assist in training new and existing employees.
Overseeing team members and answering their questions.
Distribute daily workflows to all team members.
Audit employees work and provide feedback, support, and training when necessary.
Host frequent team meetings.
Monitor employee’s productivity via ActivTrak.
Closely monitors ageing claims in Office Managers.
Closely monitors & ensures denials & insurance calls production are within expected goal
Assists in identifying and resolving trending AR issues.
Manage and review the workflow folders daily.
Work Manager Review items as marked by other departments and team members.
Review and distribute our Client Request List to the Client Service team.
Review unfavorable appeals.
Work closely with the Follow Up Managers to carry out process improvements
Alert Follow Up Managers to issues in need of high-level attention for further resolution.
Follow up on unpaid claims with insurance carriers after specified claim age.
Contact insurance companies via telephone, portals, and email requests to inquire on claims denied in error or on claims where there is further information needed in order to resolve for payment.
Utilize multiple online websites and portals to research claims.
Identify denial trends and other issues with insurance carriers and report to lead for review to assist in preventing future denials.
Process appeals on denied claims.