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Accounts Receivable Team Leader

2 months ago

Boca Raton, Florida, United States Medusind Full time
Position Overview:
The Accounts Receivable Team Leader at Medusind plays a pivotal role in managing and directing the daily activities of accounts receivable for designated accounts. This position is essential for optimizing cash flow while enhancing relationships with patients, physicians, stakeholders, and other clients.

Key Responsibilities:
  • Oversee A/R Management, Claims Management Support, Coding, Charge Capture, Data Entry, Account Follow-Up, Customer Service, Denial Management, Refund Management, Payment Posting, Auditing, Training, and Performance Reporting.
  • Supervise the operational efficiency and overall management of the Central Business Office (CBO) to support Revenue Cycle objectives and align with industry standards.
  • Ensure that all billing and accounts receivable operations adhere to departmental protocols and comply with Federal, State, and payer regulations. Implement and monitor adherence to Medusind's billing, collection, and operational policies.
  • Analyze Revenue Cycle activities by interpreting operational data to identify the need for procedural enhancements; contribute to the design and implementation of systems aimed at improving revenue and operational efficiency.
  • Engage in Operations and Revenue Cycle meetings to provide insights and feedback on A/R management. Prepare regular and ad-hoc reports and presentations to support meeting discussions.

Qualifications:
  • Bachelor's degree is preferred.
  • Certification in Professional Coding from AAPC is advantageous.
  • A minimum of 5 years of experience in healthcare Revenue Cycle is required.
  • Proficient knowledge of accounts receivables, billing system performance, coding, A/R reporting, and revenue management analysis.
  • 3-5 years of management experience in Practice Management or Revenue Cycle Management is preferred.
  • Experience with physician billing in a primary care context is preferred.
  • Advanced understanding of third-party insurance and familiarity with various insurance plan types, including HMO, PPO, POS, and Indemnity.
  • Strong knowledge of EHRs and Physician Billing Systems; experience with Athena is preferred.
  • Thorough understanding of Commercial, Medicare, HMO, and PPO Programs, particularly concerning CPT procedures and ICD-10 coding and billing. Comprehensive knowledge of Medicare Fraud and Abuse regulations.
  • Ability to provide financial counseling to patients regarding outstanding charges and resolve issues with exceptional customer service skills.
  • In-depth knowledge of HIPAA regulations.

About Medusind:

Since its inception in 2002, Medusind has empowered organizations across the healthcare spectrum with its extensive expertise and high-quality solutions, aimed at maximizing revenue, reducing operational costs, and navigating the evolving healthcare landscape. Our unique blend of deep industry knowledge, robust operational capabilities, and client-focused service significantly enhances the efficiency and profitability of healthcare organizations. Client satisfaction remains the foremost priority for the Medusind leadership and staff. Our experienced personnel, advanced technology, and innovative approach enable us to deliver effective solutions while staying ahead of changes in the healthcare industry.