Team Lead, Accounts Receivable Services- Remote

Med-Metrix; Oregon; Hybrid; USD 65,000 - 90,000; Full time

Job summary

Med-Metrix is seeking a Team Lead, Accounts Receivable Services to coordinate activities across the AR department and support the management team. This role trains new users, tracks productivity and quality, and drives improvement opportunities to ensure timely payer resolutions.

The candidate will oversee billing processes, assist in researching denials and appeals, and maintain HIPAA compliance while working with payers and patients.

Qualifications

• High School diploma or equivalent required.
• Experience in insurance collections and pursuing claims in medical settings.
• Experience in training new users.
• Knowledge of denied claims and appeals processes.
• Understanding of underpayments and credit balance processes.
• Proficiency with practice management systems (Epic, Allscripts, Cerner).
• Familiarity with Navinet/Novitasphere and medical terminology.
• Proficient in Microsoft Office; basic Excel skills.
• Strong communication, integrity and confidentiality.

Responsibilities

• Coordinate activities and operations of Accounts Receivable.
• Train new users on client host system.
• Track productivity and quality of AR Representatives.
• Identify improvement opportunities via team evaluation.
• Follow up with payers to resolve outstanding claims.
• Meet productivity and quality standards per policies.
• Use workflow and host systems to collect payments and resolve accounts.
• Adhere to HIPAA and information security requirements.
• Identify and correct billing errors; initiate appeals when needed.
• Analyze payer delays and trend denial issues.

Skills

Interpersonal skills

Communication skills

Problem solving

Attention to detail

Education

High School diploma or equivalent

Tools

EPIC PB

Allscripts

Cerner

Navinet

Novitasphere

Microsoft Office

Excel

Job description

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.