Job Purpose:

Responsible for the supervision activities and operations of the overall functions of the Accounts Receivable Team Leads both Onshore/Offshore

Duties and Responsibilities:

• Organizes, directs, and monitors daily activities of Account Receivable Team Leads Onshore/Offshore as it relates to Insurance Follow-up/Revenue Cycle Management
• Distributes workload to team, monitors and reviews performance
• Monitors and analyzes productivity of Account Receivable Team Leads completes employee evaluations for Team Leads.
• Fields questions from Team Leads as well as offshore vendor.
• Establishes procedures, prepares and coordinates schedules, and expedites workflow
• Prepares reports and correspondence as needed
• Manages QA/Productivity for both onshore/offshore AR team is completed timely and communicated to management team.
• Compile’s status and work-volume reports for management
• Interviews, trains, motivates, and rewards Account Representatives
• Manages disciplinary personnel issues and escalates accordingly
• Possesses and maintains thorough knowledge of the medical billing industry
• Possess thorough knowledge of healthcare claims processing including ICD-9/10, CPT, and HCPC codes, as well as 1500 forms
• Maintain confidentiality at all times; adhere to HIPAA and PHI Guidelines
• Assists with the implementation of policies and procedures necessary to comply with federal, state, and third-party regulations which govern billing and collection activities for physician services
• Creates/Updates all pathways relating to AR as needed and provides to AR Management Team/Staff.
• Prepares for weekly call with offshore vendor to review issues and provide resolution/guidance.
• Performs Account Representative duties as needed
• Performs other related duties as assigned by management
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Qualifications:

• Bachelor’s degree (B. A.) or equivalent, two to four years related experience, or equivalent combination of education and experience
• 1-3 years’ experience as a Supervisor
• Related training/experience (preferably within the past five years)
• Knowledge of Medicare, Medicaid and Managed Care guidelines
• Proficiency in the use of Excel Spreadsheets, PowerPoint, and various software programs
• Excellent interpersonal and organizational skills
• Strong leadership, independent thinking and decision-making skills
• Strong organizational, problem-solving, and analytical skills
• Excellent oral and written communication skills
• Ability to communicate with all members of the health care team
• Ability to prioritize assignments
• Analytical-Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.
• Problem Solving-Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics
• Technical Skills-Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
• Interpersonal Skills-Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.

Working Conditions:

• Occasional travel to client locations
• While performing the duties of this job, the employee is occasionally required to move around the work area
• Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
• The employee must be able to follow directions, to get along with others, and handle stress
• The noise level in the work environment is usually minimal

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit-based factors, or any other characteristic protected by federal, state or local law.