Team Lead, Account Follow-Up Services

Team Lead, Account Follow-Up Services

The Account Follow-Up Services Team Leader is responsible for strategic oversight of Hospital Insurance Follow-Up Services, including multi-team performance, payer strategy, denial prevention initiatives, workforce planning, and operational scaling. This role drives measurable improvement in A/R aging, collections performance, and denial overturn rates through KPI leadership, cross-functional collaboration, training programs, and continuous process innovation.

• Own performance across one or more Insurance Follow-Up teams (or multiple clients).
• Set daily/weekly/monthly targets for productivity, quality, and collections, ensuring adherence to service-level expectations.
• Lead KPI governance (Days in A/R, A/R > 90, denial rate, overturn rate, net collection rate, first-pass resolution, productivity per FTE, quality).
• Build and present performance reviews and executive-ready reporting; drive corrective action plans.

• Lead payer trend analysis and root-cause programs to reduce preventable denials (eligibility, auth, coding/modifiers, timely filing, medical necessity, COB).
• Standardize best practices for appeals, reconsiderations, and payer escalations.
• Partner with leadership on payer playbooks and escalation pathways; ensure consistent documentation standards.

• Design and maintain scalable training programs, SOPs, and payer-specific job aids.
• Establish QA frameworks and audit cadence; monitor error trends and implement remediation plans.
• Develop team leads and high-potential staff through structured coaching and succession planning.

• Drive workflow optimization through queue design, inventory management, and prioritization strategies.
• Recommend technology improvements (automation, templates, dashboards, portal utilization) to increase output and reduce rework.
• Lead change management and adoption for new tools, payer policy updates, and client requirements.

• Collaborate with coding, payment posting, charge entry, eligibility, and client stakeholders to resolve systemic issues impacting AR.
• Participate in client performance calls and support recovery plans for at-risk KPIs.

• 3-5+ years of RCM experience with deep Insurance Follow-Up/Denials expertise.
• 2–4+ years leading teams (supervisor/team lead/manager level).
• Demonstrated success improving KPI outcomes (A/R aging reduction, denial reductions, increased overturn rate, improved collections).
• Strong analytics/reporting capability (Excel required; dashboard/reporting tools preferred).
• Advanced knowledge of payer behavior, denial categories, escalation processes, and appeals best practices.
• Ability to travel when required to client site.

The hiring range for this role is $60,000 to $70,000 USD per year. Final compensation will be based on experience, skills, market conditions, and internal equity.