Job Title: Team Lead, Accounts Receivable
Department: Operations
Reports To: Director of Operations
FLSA Status: Nonexempt
Prepared By: Director of Operations
SUMMARY
The role of Team Lead, Accounts Receivable is to contribute to PRC’s profitability by assisting the Director of Operations in managing the accounts receivable department.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Trains new employees and answers billing/claim denial questions from other associates.
- Monitors open A/R balances and helps determine allocation of labor to work client/payer accounts.
- Understands standard CARC /RARC codes and their impact on A/R.
- Updates client directives and helps develop internal work instructions.
- Works with Director in monitoring and achieving KPIs (Key Performance Indicators)
- Ensures work tasks for all associates are performed in a timely manner.
- Identifies and reports client/payer A/R issues to Director. Works with payers to resolve issues.
- Ensures adequate phone coverage for inbound calls.
- Monitors outbound claim submission files ensuring receipt by the appropriate clearing house / payer.
- Ensures appeals are filed in a timely basis.
- Works with other functional departments in resolving issues.
- Assists director in preparing associate performance reviews.
- Performs miscellaneous duties as assigned.
QUALIFICATIONS
- 4 year degree preferred and / or at least 5 years experience required in a high volume medical health care claim environment.
- Ability to read and understand complex documents including, but not limited to, payer billing manuals and medical policy guidelines.
- Ability to communicate effectively to all levels within the organization and with external customers
- Strong organizational skills
- Ability to solve problems quickly and effectively
- Assist in prioritization of associate work load; a background in providing team direction is preferred
- MS Office Intermediate level