Lead, Accounts Receivable Specialist

What Customer Service Operations contributes to Cardinal Health

Contracts and Billing is responsible for finance related activities such as customer and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating customer and group purchasing contracts.

• Demonstrates knowledge of financial processes, systems, controls, and work streams.

• Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls.

• Possesses understanding of service level goals and objectives when providing customer support.

• Demonstrates ability to respond to non-standard requests from vendors and customers.

• Possesses strong organizational skills and prioritizes getting the right things done.

The Accounts Receivable Team Lead performs day-to-day AR functions with the goal of ensuring that all policies and procedures related to providing consistent, supervisor customer/patient care are adhered to, and service & production goals are met effectively and efficiently. They will work within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams.

• Provides ongoing leadership and support to team associates to ensure that day-to-day service and production goals are met.

• Assists management in monitoring associates’ goals and objectives daily; motivates and encourages associates to maximize performance.

• Provides ongoing feedback, recommendations, and training as appropriate.

• Assists supervisors in ensuring staff adherence to company policy and procedures.

• Assists supervisors in related personnel documentation as required, necessary, or appropriate.

• Acts as a subject matter expert in claims processing.

• Processes claims: investigates insurance claims; properly resolves by follow-up & disposition.

• Lead and manage escalation projects, addressing complex issues and ensuring timely resolution to maintain optimal account receivables performance and client satisfaction.

• Resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement.

• Verifies patient eligibility with secondary insurance company when necessary.

• Bills supplemental insurances including all Medicaid states on paper and online.

• Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage, ensuring all claims are accurately processed and followed up in a timely manner.

• Manages billing queue as assigned in the appropriate system.

• Investigates and updates the system with all information received from secondary insurance companies.

• Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made.

• Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy.

• Updates patient files for insurance information, Medicare status, and other changes as necessary or required as related to billing when necessary

• 6+ years of experience, preferred

• High School Diploma, GED or technical certification in related field or equivalent experience, preferred

• Proficiency in Microsoft Excel (e.g., pivot tables, formulas), preferred

• Takes the lead in effectively applying and teaching new processes and skills in order to accomplish a wide variety of assignments

• Comprehensive knowledge in technical or specialty area

• Ability to apply knowledge beyond own areas of expertise

• Performs the most complex and technically challenging work within area of specialization

• Preempts potential problems and provides effective solutions for team

• Works independently to interpret and apply company procedures to complete work

• Provides guidance to less experienced team members

• May have team leader responsibilities but does not formally supervise

Anticipated hourly range: $22.

- $32.00/hour

Bonus eligible: No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and…