Kassouf Healthcare Solutions, LLC ยท 3 months ago
Revenue Cycle Management for Healthcare - Team Lead (KHS)
Birmingham, AL
Full-time
Onsite
Senior Level
$65K/yr - $70K/yr
5+ years expKassouf Healthcare Solutions, LLC is a Birmingham, Alabama based healthcare management company in search of an In-office Team Lead. The RCM Team Lead is responsible for managing designated clinic medical claims processing, payment posting and follow up, while also providing leadership and training to staff.
AccountingConsultingHealth CareHuman ResourcesInformation Technology
Responsibilities
Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information
Ensures claim information is complete and accurate
Review insurance claims submitted to clearinghouse or individual insurance companies electronically or via paper CMS- form or UB
Follows up with insurance company on unpaid or rejected claims
Resolves claim issues
Experience with MDI/Nextgen
Prepares appeal letters to insurance carrier when not in agreement with claim denial
Collects necessary information to accompany appeal
Provides necessary information to collection agencies for delinquent or past due accounts
Compiles data for trending of errors and rejected claims
Serves as a resource for claims analyst and account representatives
Directs daily operational tasks to ensure completion and adhere to policy and procedure to achieve set KPI goals
Reviews at random claims per employee for audit purposes each week and provides feedback to each employee on the findings
Responsible for producing productivity reports and sharing them with the team on a weekly basis
Creates reports of compiled data to present to leadership for issue escalation and resolution
Possesses the ability to work in a constantly changing work environment and emphasis on attention to detail
Ability to work collaboratively within the department and organization
Ability to maintain confidentiality
Ability to work independently and remote as needed
Must have excellent organizational skills and the ability to prioritize and coordinate workload with a high degree of proficiency and accuracy
May perform other duties as assigned or requested and job specification can be modified or updated at any time
Qualification
Required
In Office Position
Live near the Birmingham, Alabama Area
Required Experience: Minimum of three (5) years of experience in healthcare, insurance, or revenue cycle operations
Must live in the Birmingham area
Preferred
Preferred Education: Bachelors Degree
Company
Kassouf Healthcare Solutions, LLC
KASSOUF HEALTHCARE SOLUTIONS, LLC is a healthcare management consulting company based out of 2101 HIGHLAND AVE S, Birmingham, Alabama, United States.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase