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...
- Rate: Not Specified
- Location: Plano, US-TX
- Type: Permanent
- Industry: Accountancy
- Recruiter: Fresenius Medical Care Holdings, Inc.
- Contact: Not Specified
- Email: to view click here
- Reference: R0202706
- Posted: 2025-04-29 08:53:30 -
- View all Jobs from Fresenius Medical Care Holdings, Inc.
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