Revenue Cycle Team Lead

New
Australia, Canada, Denmark, Finland, Germany, India, Ireland, Netherlands, New Zealand, Norway, Singapore, Sweden, United Arab Emirates, United Kingdom, United StatesFull-TimeLead
Salary not disclosed
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Job Details

Experience
3–5 years
Required Skills
Microsoft ExcelHIPAA

Requirements

  • High School Diploma or equivalent required; Associate Degree preferred.
  • Minimum 3–5 years of experience in healthcare claims processing, billing, or accounts receivable.
  • Ability to obtain ambulance biller certification within 6 months of employment.
  • Hands-on experience preparing and submitting insurance appeals.
  • Understanding of payer denial codes and payer timely filing limits.
  • Familiarity with ICD-10, HCPCS, and general medical terminology.
  • Proficiency with web platforms, billing software, and payer portals.
  • Prior customer service experience and ability to work collaboratively.
  • Excellent computer skills, including Microsoft Word, Excel, and Outlook.
  • Strong verbal and written communication skills.
  • Ability to independently manage all job aspects in a remote environment.

Responsibilities

  • Support all revenue cycle functions related to outstanding insurance accounts receivable, denials, and appeals.
  • Follow up on insurance and patient billing to ensure accurate payment.
  • Act as a subject matter expert to identify process improvements and act as a resource for team members.
  • Perform problem-solving and provide resolutions for complex accounts and escalations.
  • Communicate with patients, hospitals, insurance companies, facilities, or attorneys to research claims.
  • Document account activity and maintain workflows to keep aging accounts at a minimum.
  • Conduct monthly reviews, process write-offs, and perform quality checks on assigned claims.
  • Ensure compliance with all applicable laws and regulations, including HIPAA.
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