Accounts Receivable Team Lead

Job Title:  Accounts Receivable Team Lead

Reports to: Accounts Receivable Manager

Summary:  The Accounts Receivable Team Lead will be responsible for the collection of outstanding receivables from all payers and/or including self-pay and/or including resolution of denials. This position will be the department’s group leader in a supporting role providing the team with assistance in handling correspondence related to insurance and patient accounts, contacting insurance carriers, and patients as needed to get maximum payment on accounts and identify issues or changes. Researches and resolves accounts appearing on work queues with department. Trains new hires and provides ongoing training to current team members.

Essential Duties and Responsibilities:

• Provides support to AR department as the team’s “go to” person for training and questions.
• Provides support to staff with resolving complex accounts and with techniques to increase production, quality and collections.
• Reports trends to management and provides operational guidance and/or suggestions for resolution and prevention of errors.
• Analyzes and resolves complex insurance denials; responds to escalated patient and insurance inquiries.
• Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
• Assists management with running reports as needed.
• Researches and obtain required documents to resolve misdirected payment issues.
• Files appeals and/or resubmit unresolved invoices to insurance carriers.
• Accurately and thoroughly documents the pertinent collection activity performed.
• Assists with special projects and other duties as assigned.

Knowledge, Skills & Abilities:

• Knowledge of collections, healthcare terminology and office procedures.
• Intermediate knowledge of CMS 1500 claims, CPT Codes, ICD-10 and HCPCS Codes.
• Attention to detail with the ability to identify/resolve problems and document the outcome.
• Strong concise, clear written and verbal communication skills. Manages difficult patient and other customer situations.
• Organizational skills – ability to multi-task and work independently.
• Solid, strong analytical and problem-solving skills.
• Goal-oriented – holds him/herself accountable to achieving shared and personal goals.
• Establish and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
• Establish and maintain effective working relationships with employees, patients and external vendors.
• Strong understanding of government payers, managed care payers, other commercial payers and Self-Pay processes and reimbursements.
• Masters and understands all job functions and aspects within the revenue cycle department.
• Maintains a high level of confidentiality.
• Intermediate skill with Microsoft Office applications: Word and Excel.

Education/Experience: 

High school diploma or GED; Minimum of 3 years of experience and/or training; or equivalent combination of education and experience. 2-3 years of leading a team in previous experience in Healthcare Accounts Receivable / Collections and billing. Strong Customer service orientated, attention to detail, communication and interpersonal skills. Working knowledge of EPIC software required. Strong analytical and interpersonal skills and ability to interact with all levels of employees and clients.

Compensation Range:

The anticipated hiring range for this role is $25-$28/hour depending on experience and qualifications. Final compensation will be determined based on experience, skills, internal equity, and market data. This is an hourly non-exempt position.