Support the Manager, Accounts Receivable in the development of department team members.
Assist Accounts Receivable Specialists with problematic claims and questions regarding processes.
Implement short
and long-term plans and objectives to improve revenue and denial trends.
Work with insurance companies or government payers to identify reasons for unpaid or denied claims.
Review Leadership No Touch Report to ensure all high dollar accounts are reviewed monthly.
Conduct team huddles to efficiently cover new or evolving training focuses.
Prepare monthly reports as requested.
Ensure adherence to the departmental budget, including overtime.
Maintain and communicate any associate behavior, performance and attendance issues.
Requirements
1 to 3 years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred.
4-year college degree.
Knowledge of claims review and analysis.
Working knowledge of revenue cycle.
Experience working the DDE Medicare system and using payer websites to investigate claim statuses.
Working knowledge of medical terminology and/or insurance claim terminology.
Demonstrated advanced usage of AI and the management of teams using AI.