Medical Accounts Receivable Lead in at DataDeletionTarget
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Job Description
Surgical Notes is hiring for a Medical Accounts Receivable Lead to assist with timely follow-up and collection on our clients’ third party payor accounts receivable. The ideal candidate has excellent organizational skills, communication skills, with the desire and ability to learn quickly. Working as a part of the team to meet deadlines, but also being able to work independently is crucial to the success in this position. Our organization prides itself on being built upon a set of strong core values. We are looking for candidate who will actively exhibit these core values: Service Excellence, Transparency, Teamwork, Accountability, Hardwork, and Positive Attitude.
Reports to: Revenue Cycle Manager
Responsibilities:
- Develop strategic initiatives to improve outcomes
- Develop and distribute client ready reports and materials
- Ensure accurate billing rules used by the team
- Assume all aspects of managing a client site as needed
- Work complex issues as they arise
- Develop processes, letters and templates to be used by self and others
- Familiar with client billing rules and contribute to maintaining billing rules
- Increased productivity and quality expectations
- Work through book of AR and develop plan for maintaining proper coverage on all accounts.
- Review aged accounts, trace and appeal unpaid and/or erroneously paid or denied accounts
- Work all denials and underpayments received within 24 hours by researching steps previously taken and take additional action, as needed to resolve the claim.
- Work tickler accounts daily to ensure overall health of client accounts receivable.
- Review and address correspondence daily, including emails from clients
- Identify trends and inform client lead/manager, as appropriate
- Escalate issues to client lead/manager, as appropriate
- Other responsibilities as assigned.
Role Information:
- Full-Time
- Hourly
- Non-Exempt
- Eligible for Benefits
- Remote: The minimum bandwidth requirements are 10 Mbps upload and 50 Mbps download speeds. The recommended bandwidth requirements are 20 Mbps upload and 100 Mbps download speeds.
Required Knowledge, Skills, Abilities & Education:
- Minimum of two year's experience working with a healthcare provider or an Associate’s Degree in Healthcare Management, Business Management or a related field
- One year of experience working with billing, collections, and in and out-of-network claims
- Proficient with MS Outlook, Word, and Excel
- Ability to work independently and as part of a team
- Strong attention to detail and speed while working within tight deadlines
- Exceptional ability to follow oral and written instructions
- A high degree of flexibility and professionalism
- Excellent organizational skills
- Strong interpersonal and persuasive abilities in order to secure accurate and timely payment from patients
- Ability to work in a fast-paced environment
- Outstanding communications skills; both verbal and written
- Positive role model for other staff and patients by working with them to promote teamwork and cooperation
- Ability to apply commonsense understanding and logic in day to day activities.
Preferred Knowledge, Skills, Abilities & Education:
- Experience with healthcare billing and collections
- Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
- Paragon and/or athenahealth experience
- Strong Microsoft Office skills in Teams
- A working knowledge of IPAs and health plans is required.
- Comfortable with electronic and manual payor follow-up.
- Able to quickly identify trends and escalate, as appropriate.
- Ability to read, analyze and interpret insurance plans, financial reports, and legal documents.
Physical Demands:
- Sitting and typing for an extended period of time
- Reading from a computer screen for an extended period of time
- Work environment of a traditional fast-paced and deadline-oriented office
- Working closely with others
- Frequent verbal communication, primarily over the phone, and face-to-face interaction
- Working independently
- Frequent use of a computer and other office equipment
Key Competencies:
- Communication
- Attention to detail
- Responsiveness
- Customer Service
- Execution