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Team Lead, Accounts Receivable Services
Med-Metrix. Support the management team with coordination of Accounts Receivable department activities and operations .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Accounts Receivable management, including claims processing, denial resolution, and training. Proficient in using practice management systems and maintaining compliance with HIPAA standards while ensuring high-quality service delivery.
Highest-signal resume keywords
Accounts Receivable ManagementClaims ProcessingTraining New UsersMedical Terminology KnowledgePractice Management Systems Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims SubmissionDenial ResolutionCPT CodesModifiersDiagnosis CodesMicrosoft Office SuiteBasic Excel SkillsPayer Payment AnalysisMedical Billing Error CorrectionProductivity Tracking
Soft Skills
Strong Interpersonal SkillsExcellent Communication SkillsProblem Solving SkillsSound JudgmentCollaboration
Tools & Technologies
EPIC PBAllscriptsCernerNavinetNovitasphereWorkflow SystemsClient Host Systems
Industry Keywords
Insurance CollectionsMedical PracticeMedical FacilityAmbulatory Surgical CenterHospitalHIPAA ComplianceInformation Security
About the role
Key responsibilities & impact- Support the management team with coordination of Accounts Receivable department activities and operations
- Assist global team members by answering questions and providing ongoing support
- Provide initial training on the client host system
- Track productivity and quality of Accounts Receivable Representatives
- Identify improvement opportunities through one-on-one evaluations of the Accounts Receivable team
- Follow up with payers to ensure timely resolution of outstanding claims via phone, email, fax, or websites
- Maintain departmental productivity and quality standards and support identified training needs
- Use workflow systems, client host systems, and other tools to collect payments and resolve accounts
- Adhere to client and team policies and procedures
- Initiate appeals and submit accurate requests, supporting documentation, and communications to complete recovery processes
- Identify and correct medical billing errors
- Analyze and resolve issues causing payer payment delays
- Analyze and trend claims issues to proactively reduce denials
- Interact cooperatively and courteously with patients, visitors, coworkers, management, and clients
- Use, protect, and disclose patients’ PHI in accordance with HIPAA standards
- Comply with Information Security and HIPAA policies and limit PHI viewing to the minimum necessary
- Perform other duties as assigned
Requirements
What you’ll need- 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
- Understanding of underpayments and credit balance 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
- Proficiency in Microsoft Office Suite, with basic Excel skills
- Strong interpersonal skills and ability to communicate well at all levels of the organization
- Strong problem solving and creative skills, sound judgment, and ability to make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results orientation
- Excellent written and verbal communication skills required
- Maintain confidentiality and a professional attitude at all times
- Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
- Ability to follow directions, collaborate with others, and handle stress