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Team Lead, Accounts Receivable Services – Medical Experience Required

Job Description:

Support the management team with coordination of Accounts Receivable department activities and operations
Assist global team members by answering questions and providing ongoing support
Provide initial training on the client host system
Track productivity and quality of Accounts Receivable Representatives
Identify improvement opportunities through one-on-one evaluations of the Accounts Receivable team
Follow up with payers by phone, email, fax, or websites to resolve outstanding claims
Maintain departmental productivity and quality standards and support identified training needs
Use workflow systems, client host systems, and other tools to collect payments and resolve accounts
Adhere to client and team policies and procedures
Monitor payer timely filing deadlines
Initiate appeals when necessary
Identify and correct medical billing errors
Submit accurate appeals, requested information, supporting documentation, and effective communication to complete recovery processes
Analyze, identify, and resolve issues causing payer payment delays
Analyze, identify, and trend claims issues to proactively reduce denials
Interact cooperatively and courteously with patients, visitors, coworkers, management, and clients
Use, protect, and disclose protected health information only in accordance with HIPAA standards
Perform other duties as assigned

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 required
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; 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
Proficiency in Microsoft Office Suite, with 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 level of integrity and dependability, with a strong sense of urgency and results orientation
Excellent written and verbal communication skills required
Maintain confidentiality and a professional attitude at all times
Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
Ability to follow directions, collaborate with others, and handle stress
Must comply with HIPAA and information security policies and procedures
Must limit viewing of PHI to the absolute minimum necessary to perform assigned duties