Medical Accounts Receivable Lead

Surgical Notes is hiring for a Revenue Cycle Representative Lead to assist with timely follow-up and collection on our clients' third party payor accounts receivable. The ideal candidate has excellent organizational skills, communication skills, with the desire and ability to learn quickly. Working as a part of the team to meet deadlines, but also being able to work independently is crucial to the success in this position. Our organization prides itself on being built upon a set of strong core values. We are looking for candidate who will actively exhibit these core values: Service Excellence, Transparency, Teamwork, Accountability, Hardwork, and Positive Attitude.

External Title: Revenue Cycle Representative Lead
Internal Title: US RCM Professional

Reports to: Revenue Cycle Manager

Responsibilities:

• Develop strategic initiatives to improve outcomes
• Develop and distribute client ready reports and materials
• Ensure accurate billing rules used by the team
• Assume all aspects of managing a client site as needed
• Work complex issues as they arise
• Develop processes, letters and templates to be used by self and others
• Familiar with client billing rules and contribute to maintaining billing rules
• Increased productivity and quality expectations
• Work through book of AR and develop plan for maintaining proper coverage on all accounts.
• Review aged accounts, trace and appeal unpaid and/or erroneously paid or denied accounts
• Work all denials and underpayments received within 24 hours by researching steps previously taken and take additional action, as needed to resolve the claim.
• Obtain pre-authorizations as needed.
• Work tickler accounts daily to ensure overall health of client accounts receivable.
• Review and address correspondence daily, including emails from clients
• Identify trends and inform client lead/manager, as appropriate
• Escalate issues to client lead/manager, as appropriate
• Receive training on Manager, Revenue Cycle responsibilities to provide backup while the Manager is out or on PTO
• Other responsibilities as assigned.

Role Information:

• Full-Time
• Hourly
• Non-Exempt
• Eligible for Benefits
• Remote: The minimum bandwidth requirements are 10 Mbps upload and 50 Mbps download speeds. The recommended bandwidth requirements are 20 Mbps upload and 100 Mbps download speeds.

Job Requirements

Required Knowledge, Skills, Abilities & Education:

• High school diploma or equivalent
• Minimum of two year's experience working with a healthcare provider
• One year of experience working with billing, collections, and in and out-of-network claims
• Proficient with MS Outlook, Word, and Excel
• Strong interpersonal and persuasive abilities in order to secure accurate and timely payment from patients
• Ability to work in a fast-paced environment
• Positive role model for other staff and patients by working with them to promote teamwork and cooperation
• Ability to apply commonsense understanding and logic in day to day activities.
• Ability to work independently and as part of a team
• Strong attention to detail and speed while working within tight deadlines
• Exceptional ability to follow oral and written instructions
• A high degree of flexibility and professionalism
• Excellent organizational skills
• Outstanding communications skills; both verbal and written

Preferred Knowledge, Skills, Abilities & Education:

• Associate's Degree in Healthcare Management, Business Management or a related field
• Experience with healthcare billing and collections
• Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
• Paragon and/or athenahealth experience
• Strong Microsoft Office skills in Teams
• A working knowledge of IPAs and health plans is required.
• Comfortable with electronic and manual payor follow-up.
• Able to quickly identify trends and escalate, as appropriate.
• Ability to read, analyze and interpret insurance plans, financial reports, and legal documents.

Physical Demands:

• Sitting and typing for an extended period of time
• Reading from a computer screen for an extended period of time
• Speaking and listening on a telephone
• Working independently
• Frequent use of a computer and other office equipment
• Work environment of a traditional fast-paced and deadline-oriented office

Key Competencies:

1. Communication
2. Attention to detail
3. Responsiveness
4. Customer Service
5. Execution