Team Lead, Accounts Receivable Services

Med-Metrix; Red Bank (NJ); Presencial; USD 70.000 - 100.000; Jornada completa

Descripción de la vacante

Med-Metrix is seeking a Team Lead, Accounts Receivable Services to coordinate activities and operations within the AR department. You will support the management team, train staff on the client host system, and help improve productivity and quality across the team.

The role requires meticulous knowledge of payer timelines, appeals processes, and HIPAA policies, with a focus on timely recovery and professional collaboration across stakeholders.

Formación

• High School diploma or equivalent required.
• Experience in insurance collections for medical settings and follow-up on claims.
• Experience with training new users.
• Knowledge of denied claims and appeals process.
• Understanding of underpayments and credit balance process.
• Experience with practice management systems (EPIC PB, Allscripts, Cerner preferred).
• Extensive knowledge of payor websites (Navinet, Novitasphere).
• Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes.
• Proficiency in Microsoft Office Suite, with basic Excel skills.
• Strong interpersonal and written/verbal communication skills.
• Strong problem solving and sound judgment for timely analyses.
• High level of integrity, dependability, and urgency.
• Maintain confidentiality and comply with HIPAA.
• Excellent written and verbal communication skills.

Responsabilidades

• Assist global team members by answering questions and providing support.
• Provide initial training on the client host system.
• Track productivity and quality of Accounts Receivable Representatives.
• Identify opportunities for improvement through evaluations.
• Follow-up with payers to ensure timely resolution of outstanding claims via multiple channels.
• Meet daily productivity and quality standards per policies and training needs.
• Utilize workflow and client host systems to collect payments and resolve accounts.
• Adhere to client and team policies and procedures.
• Understand timely filing deadlines for each payer.
• Initiate appeals when necessary.
• Identify and correct medical billing errors.
• Send appeals and supporting documentation to complete recovery.
• Analyze issues causing payer payment delays and trend denial causes.
• Collaborate professionally with patients, coworkers, and clients.
• Other duties as assigned, with HIPAA compliance.

Conocimientos

Interpersonal skills

Communication skills

Problem solving

Analytical thinking

Integrity and dependability

Attention to HIPAA and PHI

Urgency and results orientation

Educación

High School diploma or equivalent

Herramientas

EPIC PB

Allscripts

Cerner

Navinet

Novitasphere

Microsoft Office Suite

Excel

Descripción del empleo

Job Purpose

The Team Lead, Accounts Receivable Services supports the management team with the coordination of activities and operations of Accounts Receivable department.

Job Purpose

The Team Lead, Accounts Receivable Services supports the management team with the coordination of activities and operations of Accounts Receivable department.

Duties And Responsibilities

• Assist global team members by answering questions and providing support for their ongoing success
• Provide initial training on the client host system
• Assist in tracking productivity and quality of Accounts Receivable Representatives
• Identify areas of opportunity for improvement through one-on-one evaluation of Accounts Receivable team
• Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
• Meet and maintain daily productivity/quality standards established in departmental policies and supports training needs identified to ensure teams success in this area
• Meet and maintain quality standards established in departmental policies and supports training needs identified to ensure the teams success in this area
• Use the workflow system, client host system and other tools available to collect payments and resolve accounts
• Adhere to the policies and procedures established for the client/team
• Knowledge of timely filing deadlines for each designated payer
• Initiate appeals when necessary
• Identify and correct medical billing errors
• Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process
• Ability to analyze, identify and resolve issues causing payer payment delays
• Ability to analyze, identify and trend claims issues to proactively reduce denials
• Act cooperatively and courteously with patients, visitors, co-workers, management and clients
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• 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, and/or Hospital
• 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, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and 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 oriented
• Excellent written and verbal communication skills required
• Maintain confidentiality and a professional attitude at all times

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.