Team Lead, Accounts Receivable

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Assist management in coordinating the activities and operations of the Accounts Receivable department.

• Provide support to global team members by addressing inquiries and offering continuous assistance.

• Deliver initial training on the client host system.

• Monitor the productivity and quality of Accounts Receivable Representatives.

• Identify opportunities for improvement through one-on-one evaluations of the Accounts Receivable team.

• Follow up with payers to address outstanding claims via phone, email, fax, or websites.

• Achieve and uphold departmental productivity and quality standards.

• Utilize workflow systems, client host systems, and other tools to collect payments and resolve accounts.

• Comply with client and team policies and procedures.

• Initiate appeals when necessary.

• Detect and rectify medical billing errors.

• Prepare accurate appeals with the required information and supporting documentation.

• Analyze and resolve issues leading to delays in payer payments.

• Examine and trend claims issues to proactively minimize denials.

• Safeguard and disclose patients' PHI in line with HIPAA standards.

• Adhere to Information Security and HIPAA policies and procedures.

• Limit access to PHI to the minimum necessary level.

• Perform additional duties as assigned.

⛳️ Requirements

• High School diploma or equivalent is required.

• Proven experience in insurance collections, including the submission and follow-up of claims for a Medical Practice, Medical Facility/Medical Billing Company, Ambulatory Surgical Center, and/or Hospital.

• Experience in training new users.

• Familiarity with the denied claims and appeals process.

• Understanding of underpayments and the credit balance process.

• Experience with practice management systems; familiarity with EPIC PB, Allscripts, and/or Cerner is preferred.

• Comprehensive knowledge of individual payor websites, including Navinet and Novitasphere.

• Understanding of Medical Terminology, CPT Codes, Modifiers, and Diagnosis Codes.

• Proficiency in Microsoft Office Suite, with basic skills in Excel.

• Excellent interpersonal skills and the ability to communicate effectively at all organizational levels.

• 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 reliability, accompanied by a strong sense of urgency and results-oriented mindset.

• Exceptional written and verbal communication skills are required.

• Maintain confidentiality and uphold a professional demeanor at all times.

• Must own a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

• Ability to follow instructions, collaborate with others, manage stress, and perform the specified physical tasks.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement plan options with employer contributions.

• Paid time off and holiday leave.

• Opportunities for professional development and advancement.