AR Team Lead - Addiction Billing & RCM

Strivant Health partners with physician practices to improve revenue cycle operations by optimizing people, processes and technology. We provide best in class Medical Billing, Collections, Call Center, Credentialing and Analytics that are all designed to focus on maximizing our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine, rather than the business of medicine. We have worked with over 4,000 providers representing 25 different specialties and over 30 technology platforms in our 20+ years of business.

BENEFITS: Strivant Health offers its employees excellent benefits including Health, Dental, Vision, Life, AD&D, 401(k), paid holidays, PTO.

LOCATION: Remote

HOURS: Monday - Friday. 8:00 AM-4:30 PM

STATUS: Full-Time, benefits eligible

AR Team Lead - Physician Addiction Billing & RCM

The primary purpose of the Accounts Receivables team is to pursue reimbursement of services rendered and achieve accounts receivable resolution. This team works through open accounts receivables (denials and delinquent accounts) by actively calling payer organizations or utilizing web-based connectivity.

The Accounts Receivables’ Team Lead is for providing assistance, coaching and training to staff members, including new hires and offshore team members. They support and assist the team and Management with complex inventory and issue resolution. Responsible for all aspects of the billing, follow up and collection activity for payers that are supplemental to Medicare. They may maintain a large dollar inventory desk or complex accounts as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. They may support multiple clients and must be able to access multiple billing systems to support the team. They may assist in special projects as assigned my management, including acting as a point of contact for internal operational questions and client questions.

Essential Functions:

• Is a point of contact for mentoring and training to all staff members, including new hires and offshore team members.
• Provide enhanced training and assists staff with techniques to increase production, quality, and collections.
• May participate in the new hire interviewing process.
• Develops and maintains departmental training and procedure guides for all teams and corresponding roles.
• Provides periodic quality assurance checks.
• Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites.
• May maintain a large dollar inventory desk as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged.
• Owns client's performance and ensure consistent and timely communication for issues identified.
• Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary.
• Accurately and thoroughly document the pertinent collection activity performed.
• Review the account information and necessary system applications to determine the next appropriate work activity.
• Proactively identify issues or trending and provide suggestions for resolution.
• Pulls reports from systems and analyzes to trend volumes and denials.
• Utilizes reports to identify work assignments for both internal and external teams.
• Involved with client communications including month end calls.
• Updates logs of active cases and activities with deliverables and take aways from internal and client meetings.
• Works directly with internal and offshore teams to manage workflow assignments to meet the client needs within deadlines specified,
• Creates or updates/builds SOPs and provides training to all internal and offshore teams on workflows.
• Audits internal and offshore teams for quality reviews.
• Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed.
• Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.
• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
• Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
• Assist in special projects assigned by management.
• Participate and attend meetings, training seminars and in-services to develop job knowledge.
• Attend various conference calls, webinars, or advanced training to help team members.
• Respond timely to emails and telephone messages from the staff, management, and the client.
• Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
• Performs other related duties as required or requested.

REQUIREMENTS:

• High school diploma or equivalent
• A minimum of 3 years of experience in physician collections with complex denials and appeals management.
• A minimum of 1 year of experience in physician billing and collections for substance abuse / addiction treatments
• Strong understanding of Medicare and Medicaid billing and denials related to to behavioral health and substance abuse / addiction treatments
• Previous training or mentoring experience preferred.
• Passionate about helping others and can communicate in a direct yet empathetic manner.
• Ability to influence & motivate others to take positive steps to change direction to achieve desired outcomes.
• Previous experience with medical billing systems required.
• Knowledge of CPT, ICD-9/10 and HCPCS codes
• Sharp intelligence of government payers and other commercial/managed care carrier rules and processes in a professional billing environment
• Attention to detail with the ability to identify/resolve problems and document the outcome.
• Strong written and verbal communication skills
• Excellent analytical and problem-solving skills.
• Experience pulling reports out of systems and analyzing for trends.
• Ability to multi-task and recognize trends to effectively work A/R
• Solid skill with Microsoft Office applications: Word, Excel
• Initiative to learn new tasks and the ability to apply acquired knowledge to future duties.
• Flexibility, adaptability, and accountability are necessary for optimum client results.

We are looking forward to reviewing your resume!

No agencies, please!

Search tags: Customer Service Rep, Patient Access, Patient Financial Rep, Scheduling Rep, Revenue Cycle, RCM, Accounts Receivables Rep, Patient Account Rep, Patient Service Rep, Account Rep, Medical Coding, Medical Credentialing, Medical Referrals, Medical Billing, Physician

Job Type: Full-time

@StrivantHealth