Sr PAR Collections

You will be able to work from your home location within the United States

PURPOSE AND SCOPE:
The A/R Team Leader is responsible for the daily analysis, verification, collection and resolution of diverse accounts receivable issues within the assigned function(s).  The incumbent serves as a subject matter expert by providing high level analytical and administrative support in compliance with company policies and procedures.

The A/R Team Leader provides guidance and leadership to ensure performance in alignment with company goals and objectives.

PRINCIPAL DUTIES AND RESPONSIBILITIES:


* Utilizes in-depth knowledge of healthcare billing and collection processes to investigate and resolve payment denials and issues to ensure that all charges are billed.


* Investigates and takes the appropriate steps to address and resolve payment denials and incorrectly paid accounts.


* Researches and resolves claims issues contacting the pertinent parties by telephone or insurance website.


* Ensures timely and accurate reimbursement by responding to the appropriate insurance carriers.


* Reviews reports on a daily basis to capture “no response” claims and to follow-up or re-examine claims “until the account is resolved appropriately.

Generates detailed reports for manager review.


* Monitors productivity goals of junior staff, ensures assigned accounts are worked within 45 days of bill date. 


* Identifies payer-specific trends that cause increase in A/R aging.


* Reviews the electronic data interchange vendor website for payer claim rejections.  Determines reason for rejection and corrects information.


* Generates and disseminates monthly patient statements.


* Determines if insurance adjustments are due according to particular qualifying criteria/reasons specified in the Standard Operating Procedures (SOP’s) and makes the appropriate insurance adjustment in the billing system.


* Generates Credit Balance reports regularly to resolve credit balances, distribute to the appropriate AR Rep.


* Conducts quality audits to ensure consistent and excellent customer service by junior staff.


* Tracks productivity and quality each month, maintaining metrics.  Regularly informs team members regarding payer updates and team policy and procedural changes.


* Presents all payer and team issues and updates in the weekly leadership meeting


* Other duties as assigned.


* May act as an informal team leader and provides assistance to junior staff with support tasks that require considerable judgment and initiative.


* Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.


* May escalate difficult/complex issues to supervisor for resolution, as deemed necessary.


* Assist with various projects as assigned by direct supervisor.


* Other duties as assigned.

Additional responsibilities may...