Team Lead, Follow Up

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee timecard management and maintain the time off calendar.

• Facilitate and support the training of both new and current employees.

• Supervise team members and address their inquiries.

• Allocate daily tasks to all team members.

• Review employees' work and offer constructive feedback, assistance, and additional training as required.

• Conduct regular team meetings.

• Track employee productivity through ActivTrak.

• Monitor ageing claims in Office Managers closely.

• Ensure that denial rates and insurance call production meet established targets.

• Aid in identifying and addressing recurring accounts receivable (AR) issues.

• Daily management and assessment of workflow folders.

• Address Manager Review items flagged by other departments and team members.

• Evaluate and distribute the Client Request List to the Client Service team.

• Review and assess unfavorable appeals.

• Collaborate with Follow Up Managers to implement process enhancements.

• Notify Follow Up Managers of issues requiring high-level intervention for resolution.

• Follow up with insurance carriers on unpaid claims after the specified aging period.

• Communicate with insurance companies through phone, portals, and email to inquire about claims denied erroneously or requiring additional information for payment resolution.

• Utilize various online platforms and portals to investigate claims.

• Recognize denial patterns and other issues with insurance carriers and report to the lead for review to help mitigate future denials.

• Manage appeals for claims that have been denied.

⛳️ Requirements

• A high school diploma or equivalent is mandatory.

• An Associate’s or Bachelor’s degree in healthcare administration, medical assisting, or a similar field is preferred.

• 1-2 years of experience in AR Follow-Up is required.

• Familiarity with Professional CMS 1500 Billing, various Clearinghouses, Billing Systems, and EMR systems.

• Understanding of billing requirements across multiple states, including both Commercial and Government payers.

🏝️ Benefits

• Fully remote work environment.

• Expected to work from a designated home office or a quiet and secure location, free from distractions.

• Access to an appropriate workspace, including reliable internet connectivity.