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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