Job Purpose:

The Follow-up Team Lead will be engaged in all efforts of the technical and/or professional revenue cycle processes, interacting, communicating, and building relationships and developing employees. The position will be the key person in organizing, scheduling, and monitoring the daily operations of the area. This position will be responsible for anticipating resource needs to meet objectives and implements appropriate process.

Essential Functions:

• Monitors staff workload to ensure all assigned accounts are initiated or completed productively.
• Performs audits to ensure all duties are performed.
• Ensures staff adhere to standard operating procedures.
• Assists with issue resolution.
• Receives and responds to special requests and resolves complex problems
• Responsible for the day-to-day operations of the accounts receivable follow-up function.
• Train staff and provide positive direction, guidance and leadership over the staff for effective teamwork and motivation.
• Oversees all staff in the Accounts Receivable Follow-up department.
• Monitors accounts receivable follow-up work queues and reports.
• Work collaboratively with all center staff and Revenue Cycle Department teams to provide support review processes, provide feedback and identify area of opportunities.
• Analyzes and researches complex or escalated accounts to determine root cause of open receivables and determine and execute the best approach for rebilling and timely and accurate resolution.
• Manages relationships with third party payers, hospital departments, and patients to obtain information required for account receivable resolution.
• Utilizes internal and payer technology and resources to support account resolution activities.
• Work collaboratively with all center staff and Revenue Cycle Department teams to provide support review processes, provide feedback and identify area of opportunities.
• Stay abreast of payer requirements and changes in the industry and communicate those changes to team and leadership

Qualifications and Education Requirements

• Minimum 3 – 5 years’ experience in Revenue Cycle
• Understanding of Medicare, Medicaid, and third party billing/coding guidelines.
• Experience with multiple billing and EMR Systems
• Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding

Preferred Skills

• ROCC, CHONC, or CPC credentials preferred but not required.

• Knowledge of medical terminology
• Familiar with Chemotherapy and Radiation Billing

Required Competencies

Ability to work in a team environment and be able to multi task. Strong Business and Organizational Competence.  Exceptional Customer Service Skills.  Strong functional Competence. Interpersonal Skill Competency. Stress Tolerance. Initiative. Adaptability. Accountability. Integrity. Self-Confidence. Time Management Skills with an emphasis on multi-tasking. Ability to maintain a professional, polished image. Ability to communicate effectively, both written and verbal.

Physical Demands and work environment

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: Required job duties are essentially sedentary in nature, consisting of occasional walking, standing, lifting and/or carrying twenty five pounds maximum, seeing, speaking and hearing. Must be able to lift up to 25 pounds.

Work environment:  Required job duties are normally performed in a climate-controlled office environment.