Team Lead, Accounts Receivable Services

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

📋 Description

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

• Provide support and answer inquiries from global team members.

• Deliver initial training on the client host system to new users.

• Monitor the productivity and quality of Accounts Receivable Representatives.

• Conduct individual evaluations to identify areas for improvement.

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

• Maintain departmental standards for productivity and quality while supporting identified training needs.

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

• Comply with client and team policies and procedures.

• Initiate appeals and submit precise requests, supporting documentation, and communications.

• Analyze and resolve issues that lead to delays in payer payments.

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

• Detect and rectify medical billing errors.

• Safeguard and disclose patients’ PHI in compliance with HIPAA regulations.

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

• Carry out other duties as assigned.

⛳️ Requirements

• High School diploma or equivalent is required.

• 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.

• Prior experience in training new users is necessary.

• Knowledge of the denied claims and appeals process is essential.

• Understanding of the underpayments and credit balance process is required.

• Familiarity with practice management systems such as EPIC PB, Allscripts, and/or Cerner is preferred.

• Extensive knowledge of individual payor websites, such as Navinet and Novitasphere.

• Proficient in Medical Terminology, including CPT Codes, Modifiers, and Diagnosis Codes.

• Strong proficiency in Microsoft Office Suite, with basic Excel skills required.

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

• Excellent interpersonal, written, and verbal communication skills, as well as problem-solving, creativity, judgment, integrity, dependability, confidentiality, and stress-management abilities.

• Ability to follow directions, collaborate with others, manage stress, and meet the stated physical demands.

🏝️ Benefits

• Comprehensive health care coverage.

• Competitive salary and performance-based incentives.

• Opportunities for professional development and training.

• Supportive work environment that values teamwork and collaboration.