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4 months ago
The Medical Billing Collector Team Lead is responsible for the oversight of the medical collectors assigned to their team. The Medical Billing Collector Team Lead position will include weekly huddles with their team members either in a group or individual setting to review and verify performance and training needs. The Collector II position will require extensive knowledge of the Revenue Cycle internal collections processes. A clear ability to effectively work with team members, identify and aid to correct any training needs and ensure production metrics are met daily, weekly and monthly must be demonstrated.
JOB RESPONSIBILITIES/DUTIES
- Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance carries or payers.
- Initiating collection follow-up on all unpaid or denied claims with appropriate insurance carriers.
- Research, appeal, and resolve unpaid insurance claims.
- Actively follow up and collect on all claims, including resolution of any billing errors, following established procedures.
- Respond to correspondence from insurance carriers.
- Provide oversight and direction within assign team.
- Provide auditing and production analysis and support to the Supervisor.
- Meet with team weekly via huddles and/or one-on-one meetings.
- Work assigned claim volume timely and efficiently with corporate timeframes.
- Work to identify, correct and sustain any issues with production, work flow and training
- Provide weekly updates via written reports to leadership.
- Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendance.
- Follow all process and procedures as set by the Training Coordinator and/or department leadership.
- Perform other duties as assigned by department manager.
QUALIFICATIONS
- Minimum Education: High School Diploma/G.E.D.
- Minimum 3-5 Years of experience with insurance follow up and insurance collections.
- Knowledge of medical billing, revenue cycle, appeals and customer service.
- Ability to delegate task and implement processes and procedures
- Strong communications skills in both oral and written.
- Positive attitude, Team Player and the ability to work independently.
- Experience in reading EOB’S required.
- Proven experience administering appeals in a high-volume claim’s environment.
- Demonstrates excellent problem-solving skills and negotiating skills.
- Prior experience working commercial insurance, Medicare, Medicaid, other government payors.
- Knowledge of EPower and Centricity desired.
- Type 45-60 WPM.
Prior leadership training or experience preferred.
Excellent analytical and problem-solving skills.
WORKING CONDITIONS
- Frequent speaking, listening using a headset, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer.
- Service center with moderate noise level due to representatives talking, computers, printers, and floor activity.
- While the performing duties of this job, the employee is frequently required to stand, walk and sit.
- Must submit to random drug screenings.
