Description

JOB SUMMARY

This position will oversee the AR associates assigned to this insurance carrier group. The Team Lead will also work carriers as assigned. This includes the timely review of insurance denials and recommendations for bad-debt and adjustments to the manager.


JOB REQUIREMENTS

Education

• High School Diploma or GED required
• Bachelor’s degree in Business Administration or related field preferred

Work Experience

• 3 years of Healthcare experience required
• 1 year of progressive management experience preferred

Required Licenses/Certifications

• CPAR – Certified Patient Account Representative preferred

Additional Knowledge, Skills, and Abilities Required  Strong knowledge of the Accounts Receivable process

• Excellent phone, communication, organizational skills, computer skills, and mathematical skills
• Ability to maintain patient confidentiality
• Strong knowledge of processes and understanding of practice management system

Additional Knowledge, Skills, and Abilities Preferred

• Epic or eClinicalWorks experience
• Experience with Microsoft Excel and Word

ESSENTIAL FUNCTIONS
Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job.

• Maintain Daily communication with direct reports.
• Maintain a high-level customer service approach to working with Accounts Receivable Specialists, payors, and centers
• Establish and maintain a high-level customer service approach to working with all patients and business partners
• Daily coordination of the assigned AR associates working on outstanding insurance
• Monitoring assigned carrier groups to achieve AR metrics
• Timely re-filing and working on denials in conjunction with the coding department
• Identify any denial trends and educational opportunities
• Manage the On-Boarding process for new employees.
• Complete employee work function setups including IT, phone, supplies, compliance training, and time clock
• Quarterly performance log review of AR specialists and Annual Performance Appraisal of AR Specialists

Required knowledge, skills and ability:

Customer service skills:

• Ability to represent the Department in a professional manner when interacting with patients, guests, physicians and their staff
• Ability to handle service issues professionally
• Ability to follow through with customers

Communication Skills:

• Ability to communicate effectively to patients about their medical conditions and the financial aspects of their care.
• Ability to communicate effectively to patients, centers, and staff regarding departmental policy

Keyboard skills:

• Ability to type proficiently

Teamwork:

• Ability to function effectively as an extension of the Center
• Be flexible and open-minded in thought processes
• Maintain focus under pressure
• Share relevant information with other team members

Medical Terminology & Insurance

• Ability to understand basic medical terminology
• Ability to calculate deductible and co-insurance correctly
• Ability to read and understand carrier Explanation of Benefits

All other duties as assigned.

Note: This job description is not inclusive of all the duties of the position. You may be asked by leaders to perform other duties. Management reserves the right to revise this position description at any time.