Team Lead, Accounts Receivable

The Accounts Receivable Team Lead is responsible for holding self and team members accountable for knowledge of and full compliance with Accounts Receivable Specialist performance standards as listed on all team members' job descriptions. The Team Lead has input for hiring, retention, quality and production performance development, performance management, and teammate relations. The Team Lead supports the Project Manager to ensure that daily operations and project goals are met.  This support includes but is not limited to monitoring staff productivity and quality scores, training and coaching, project report preparation, etc.

Duties and Responsibilities:

• Monitor the status of assigned outstanding patient accounts, identifying and resolving billing errors and claim denials

• Conducts reviews of patient accounts to ensure accuracy of billing codes, patient demographics, and insurance information. 

• Implement strategies to improve collection rates and reduce outstanding accounts receivable.  Assists Project Manager by running A/R and related reports, conducting analysis of variances and providing recommendations for resolution/mitigation to the Project Manager

• Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines.

• Generate regular reports on team performance, including key metrics and trends related to patient accounts.

• Identify areas for improvement and implement quality initiatives to optimize billing processes. 

• Mentor team and monitor team performance against key metrics like collection rates, denial rates, and productivity.

• Conduct staff training in conjunction with the Project Manager

• Analyze data to identify potential issues and develop solutions to improve efficiency and revenue cycle management working with Management and escalate trends to Management.

• The Team Lead will be assigned specific action groups within Internal database assigned by Management.

• Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence. Demonstrates understanding of the entire revenue cycle. Assists with problem solving, inquiries, and customer interaction to ensure positive results.

Knowledge, Skills, and Abilities:

• Flexibility and ability to lead

• Excellent attention to detail

• Excellent communication and problem-solving skills

• Experience with training others in business office activities

• Ability to multi-task, problem solve, be well organized & detail-oriented in a fast-paced environment

• Ability to think critically

• Ability to work both in a team environment and independently with minimal supervision

Work Experience, Education, and Certifications:

• Minimum of 3-5 years of experience in hospital billing and collections, with prior leadership experience preferred. 

• Demonstrated level of analytical ability required to research/review patient accounts. Proficiency in billing software, electronic health records systems, and data analysis tools. 

• Ability to motivate the team, delegate tasks effectively, and promote collaboration. Excellent verbal and written communication skills to interact with patients, insurance companies, and internal stakeholders.  

• Strong analytical skills to identify and resolve complex billing issues Note: Specific job responsibilities may vary depending on the size and type of healthcare facility, as well as the complexity of their billing operations.

• High school diploma or equivalent; additional training in medical billing or healthcare administration is a plus.

Working Conditions and Physical Requirements:

• Manual dexterity to enter data into and retrieve data from computer.  Ability to communicate verbally and in writing. 

• Ability to sit long periods of time. Ability to move moderately heavy objects (e.g., manuals, boxes of supplies, and light equipment).