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MedData has an exciting opportunity available for an AR Team Lead posiiton in Louisville, KY.
This is a full-time posiiton working 8-5, Monday-Friday with flexibility as needed.
The successful candidate must be physically based in an area within a commutable distance to Louisville, KY.
Position Summary:
The primary responsibility of an A/R Follow Up Team Lead is to manage A/R workflow within PIA and Task Manager, and to serve as the key specialist responsible for communication between Pathology Insurance Operations and the Pathology team within Patient Operations (call center). The team lead is responsible for ensuring that offshore is meeting benchmarks in productivity and accuracy within a timely manner for unpaid claims follow up and PIA work items.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Supervise account resolution process to help resolve issues and implement proactive steps to avoid issues from becoming escalated.
- Ensuring that offshore resources are following up on unresolved claims, including appeals, to identify why payment has not been received by the carrier.
- Ensuring that offshore resources are taking appropriate actions to resolve issues in a way that results in payment and/or complete closure of insurance balance.
- Ensures that offshore resources are maintaining Editor-Level benchmarks within the PCP application to help resolve any issues that delay charge entry into GPMS within the Edit and/or Pre-Loading queues.
- Ensures that GPMS claim edits are worked accurately, and within a timely manner to eliminate any delay to the claim submission process.
- Closely monitors reports, looks for trends & unusual occurrences. Escalates and implements immediate and effective steps to rectify situations.
- Act as a resource for offshore questions or issues, and provide guidance, direction, and training and retraining as needed.
- Handle escalated issues from Offshore, Management, Client Services, and Patient Operations.
- Ensures that outbound claims and patient statements are printed, processed and distributed in a timely manner.
- Serve as a key specialist for questions of Collection Agency.
- Other duties as assigned.
QUALIFICATIONS AND REQUIREMENTS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
- High school diploma or equivalent is preferred except where required by our client.
- Medical billing experience is helpful.
- Problem solving, research, organization, detail oriented, flexibility to work on competing priorities.
- Able to work independently, identify patterns, make informed decisions, correctly identifying root causes to determine appropriate actions and outcomes.
- 2+ years Office experience in which problem solving and research were major keys to success. Prior computer experience is required.
- Ability to completely and concisely summarize important details in account notes and excellent verbal communication skills are a must.
To join our team of 2,000 employees and growing, please apply directly to this posting.
MedData is an Equal Opportunity Employer
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