Lead AR Rep

Responsibilities:

• Accounts Receivable Responsibilities
• Responsible for facilitating maximized revenue for the department by managing strategies to collect monies from third party payers
• Efficiently and effectively manages Accounts Receivable using work queues.
• Proactively works with co-workers to collect on monies due as part of patient responsibility.
• Identifies and tracks third party rejection types to determine rejection patterns
• Reviews, processes and challenges all rejection and code changes
• Monitors changes to third party reimbursement policies and billing procedures. Informs and/or recommends changes to billing policies to manager.
• Manages procedures to identify invoices which should be further appealed through proper channels.
• Meets regularly with manager to review status of A/R, special projects, and problematic or unusual accounts, issues related to timely filing, third-party complaints, and potential legal issues. and issues related to timely filing.
• Reviews Indicator and Productivity Reports with manager and identifies areas for improvement.
• Receives and responds to all correspondence, telephone calls and other inquiries from designated carriers and patients.
• Reviews and provides chart documentation as needed for claim processing and payment.
• Lead Responsibilities
• Clearly defines work expectations and continually provides guidance and support to team members
• Reports performance issues to supervisor and works with them on how to appropriately handle
• Assists staff members in addressing challenges and skill deficits
• Assigns work that uses staff skills and talents, provides responsibility and challenge, allows for creativity, and offers leadership opportunities.
• Establishes and ensures effective and ongoing communications
• Perform monthly quality review of staff output, looking for opportunities to improve quality or efficiency
• Provides leadership to accounts receivable staff for assigned work queue(s). Identifies, reports, and resolves issues that will result in accurate and timely payment of accounts
• Review and approve staff bad debt write-offs up to a specified limit
• Complete month end procedures/reporting
• Manage departmental WQs – patient, follow up, coding, credit, and enrollment and coordinate work flow within queues with Manager

Education or Equivalent Experience:

• H.S. Diploma/GED (Required)
• 5+ years' experience in physician billing operations and accounts receivable management. M
• Must pass any required exams for EMR access