Team Lead

Role & responsibilities

1. Team Leadership and Management:

2. Lead, supervise, and motivate the accounts receivable team to meet goals and ensure high levels of performance and customer service.

3. Monitor individual and team performance, provide constructive feedback, and ensure that all tasks are completed efficiently and accurately.
4. Provide training and development opportunities for team members to enhance skills in AR management and healthcare billing processes.
5. Organize and prioritize the teams workload to ensure daily, weekly, and monthly deadlines are met.

6. Perform performance reviews, set KPIs, and implement strategies for continuous improvement within the team.

7. Accounts Receivable Operations:

8. Oversee the end-to-end process of accounts receivable, including claim submission, follow-up on unpaid claims, payment posting, and denial management.

9. Ensure accurate and timely submission of claims to government payers (Medicare, Medicaid) and commercial insurance carriers.
10. Monitor aging reports, analyze trends, and ensure effective follow-up on overdue accounts.

o Resolve complex issues related to claim rejections, denials, and underpayments, ensuring claims are resubmitted or appealed appropriately.

• Ensure accurate cash application and proper posting of payments received.

• Compliance and Billing Guidelines:

• Ensure all accounts receivable processes comply with HIPAA, healthcare regulations, payer-specific rules, and internal policies.

Stay up to date with changes in payer guidelines, insurance policies, and

government regulations affecting billing and collections.

• Implement corrective actions if team members deviate from standard operating

procedures and ensure full compliance.

1. Denial and Dispute Management:

2. Review and analyze denied claims to identify trends and root causes.

3. Develop strategies to resolve denials quickly and reduce the rate of claim denials.
4. Lead the efforts for timely follow-up and appeals processes to minimize outstanding AR.

5. Work collaboratively with the billing team to ensure all claims are accurate before submission.

6. Reporting and Performance Analytics:

7. Prepare and present weekly, monthly, and quarterly AR aging reports to management.

8. Provide insights and recommendations on ways to improve cash flow, reduce outstanding receivables, and optimize revenue cycle performance.

9. Analyze AR data to identify bottlenecks, inefficiencies, or opportunities for process improvement.

10. Collaboration and Cross-Department Coordination:

11. Act as the liaison between the accounts receivable team and other departments, including billing, coding, and finance, to resolve complex issues.

12. Work closely with the operations team to align on best practices and ensure smooth revenue cycle processes.

13. Assist in the development of policies and procedures to streamline AR operations and improve collection performance.

14. Training and Process Improvement:

15. Provide ongoing training for new hires and current team members on AR procedures, payer requirements, and system updates.

16. Continuously evaluate and recommend improvements to AR processes, software systems, and team efficiency.
17. Ensure that the team remains updated on industry changes, payer updates, and other relevant developments.

Customer Service and Patient Interaction:

• Address escalated patient or payer concerns and ensure issues are resolved professionally and promptly.
• Maintain a strong focus on customer service, ensuring that patient billing issues are handled effectively and professionally.