Team Lead, Follow Up

Summary

As a Follow Team Lead, this position assists the Follow Up Managers to oversee the operations of the Follow Up team. The position will entail identifying opportunities to improve efficiency and overall process improvement for the assigned responsibilities. The position will oversee the day-to-day operations of the team to keep the staff on task. The position requires building successful working relationships with the Follow Up staff on and offshore and directly reports to the Follow Up Managers.

• Team Management
  • Monitor timecards and time off calendar.
  • Coordinate and assist in training new and existing employees.
  • Oversee team members and answer their questions.
  • Distribute daily workflows to all team members.
  • Audit employees’ work and provide feedback, support, and training when necessary.
  • Host frequent team meetings.
  • Monitor employee productivity via Activ Trak.
• Workflow Management
  • Closely monitor ageing claims in Office Managers.
  • Ensure denials and insurance calls production are within expected goals.
  • Assist in identifying and resolving trending AR issues.
  • Manage and review the workflow folders daily.
  • Work Manager Review items as marked by other departments and team members.
  • Review and distribute the Client Request List to the Client Service team.
  • Review unfavorable appeals.
• Direct Report to the Follow Up Managers
  • Work closely with the Follow Up Managers to carry out process improvements.
  • Alert Follow Up Managers to issues needing high-level attention.
  • Follow up on unpaid claims with insurance carriers after the specified claim age.
  • Contact insurance companies via telephone, portals, and email to inquire about denied claims or missing information.
  • Utilize multiple online websites and portals for claim research.
  • Identify denial trends and other issues with insurance carriers and report to lead for review.
  • Process appeals on denied claims.

• Analytical & Critical Thinking Skills.
• Billing & Compliance Knowledge.
• Leadership Skills.
• Strong attention to detail and commitment to accuracy.
• Ability to work both independently and as part of a team.
• Strong communication skills (both written and verbal).
• Excellent organizational skills with the ability to manage multiple tasks and prioritize effectively.
• Ability to handle sensitive patient information with discretion and confidentiality.

• High school diploma or equivalent required.
• Associate’s or Bachelor’s degree in healthcare administration, medical assisting, or a related field preferred.
• 1-2 years of AR Follow-Up experience.
• Experience in Professional CMS 1500 Billing, multiple clearinghouses, billing systems, EMR’s.
• Knowledge of multiple states billing requirements, commercial and government payers.

• 100% Remote.
• Expected to work from a designated home office or other quiet and secure location, free from distractions.
• Access to a suitable workspace that includes reliable internet access.
• Ability to sit for long periods while working at a desk or computer.
• Regular use of a keyboard, mouse, and other computer peripherals.
• Occasional video conferencing, which may involve sitting or standing for meetings.

0% travel.