Team Lead, Accounts Receivable Services

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

📋 Description

• Assist the management team 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 individual evaluations of the Accounts Receivable team.

• Follow up with payers to ensure prompt resolution of pending claims via phone, email, fax, or websites.

• Maintain departmental productivity and quality standards while addressing identified training requirements.

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

• Comply with client and team policies and procedures.

• Initiate appeals and submit precise requests, supporting documentation, and communications to complete recovery processes.

• Identify and rectify medical billing errors.

• Analyze and resolve issues that cause delays in payer payments.

• Analyze and identify trends in claims issues to proactively minimize denials.

• Interact professionally and courteously with patients, visitors, coworkers, management, and clients.

• Use, protect, and disclose patients' PHI in accordance with HIPAA standards.

• Adhere to Information Security and HIPAA policies, ensuring PHI viewing is limited to the minimum necessary.

• Perform additional duties as assigned.

⛳️ Requirements

• A High School diploma or equivalent is 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 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; 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 the ability to communicate effectively at all organizational levels.

• Excellent problem-solving and creative skills, sound judgment, and the ability to make decisions based on accurate and timely analysis.

• High integrity and dependability with a strong sense of urgency and results orientation.

• Exceptional written and verbal communication skills are required.

• Maintain confidentiality and a professional demeanor at all times.

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

• Ability to follow instructions, collaborate with others, and manage stress effectively.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health and wellness benefits.

• Opportunities for professional development and career advancement.

• Supportive work environment with a focus on teamwork and collaboration.