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Med-Metrix · 19 hours ago

Team Lead, Accounts Receivable Services

Red Bank, NJ

Full-time

Onsite

Mid Level

Med-Metrix is seeking a Team Lead for their Accounts Receivable Services department. The role involves supporting the management team in coordinating activities and operations while ensuring the success of Accounts Receivable Representatives through training and productivity tracking.

Health CareInformation TechnologySoftware

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

Meets and maintains daily productivity/quality standards established in departmental policies and supports training needs identified to ensure teams success in this area

Meets and maintains quality standards established in departmental policies and supports training needs identified to ensure the teams success in this area

Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts

Adheres 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

Understanding of under payments and credit balance process

Perform special projects and other duties as needed

Act cooperatively and courteously with patients, visitors, co-workers, management and clients

Other duties as assigned by the management team

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

Qualification

Insurance collectionsMedical billingPractice management systemsMedical TerminologyMicrosoft OfficeCommunication skillsOrganizational skillsProblem solving skills

Required

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

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

Ability to work well individually and in a team environment

Proficiency with MS Office. Must have basic Excel skillset

Strong communication skills/oral and written

Strong organizational skills

Work independently from assigned work queues

Maintain confidentiality at all times

Maintain a professional attitude