Accounts Receivable Analyst

Cash Application And Credit Resolution Team Lead

The Cash Application And Credit Resolution Team Lead is responsible for providing guidance, training, and support to team members while ensuring the accuracy and timeliness of payment posting and account resolution. This role serves as the primary resource for staff questions, workflow reviews, and escalated account issues, working closely with the Manager and Business Analyst to maintain effective processes and training documentation.

Responsibilities :

• Serve as the team lead for the Cash Application and Credit Resolution team.
• Train new employees and review workflows with current team members.
• Partner with the Manager and Business Analyst to maintain and update workflows, training documents, and standard operating procedures.
• Review and correct potential payment posting issues identified by follow-up staff.
• Investigate and resolve escalated patient account issues.
• Educate staff on handling problematic accounts and provide ongoing guidance.
• Ensure all eligible payments, denials, and correspondence are posted accurately and in a timely manner, including manual lockbox and ACH payments.
• Perform revenue cycle activities to resolve account balances, including :
• Manual posting of payments, denials, and correspondence.
• Resolving remittance errors.
• Processing complex provider-level adjustments (PLBs).
• Addressing credit balances.
• Applying payments and adjustments to accounts.
• Follow up with payors and vendor websites to obtain missing documentation.
• Assist with daily workload as needed to cover staff absences.
• Communicate with internal and external stakeholders to obtain necessary documentation or information to resolve accounts.
• Contact payors directly to follow up on claims, update account information, and submit corrected claims as needed.
• Research and resolve missing payments routed to Epic work queues, including :
• Reviewing and understanding cash receivables processes.
• Understanding payment posting within the Epic system.
• Accessing insurance portals to review payment / denial details.
• Working with insurance vendors to locate or reissue misdirected payments.
• Updating payment demographics with insurance vendors.
• Working within clearing accounts to transfer payments to correct patient accounts.

Competencies :

Ability to participate as a member of the staff in identifying priorities for the work unit and participate as a member of a work group or team.

Ability to interact and communicate with clarity, tact, and courtesy with patrons, patients, staff, faculty, students, and others.

Ability to work with supervision to identify and describe work task priorities.

Ability to recognize and resolve or refer problems and conflicts.

Ability to negotiate and manage interpersonal communication effectively.

Ability to understand medical terminology / documentation and basic documentation such as help screens and departmental handouts.

Ability to handle multiple concurrent tasks in a competent and professional manner in a fast-paced atmosphere.

Ability to solve problems independently with limited direction from the supervisor.

Education, Experience, or Certifications :

High school diploma required.

Previous experience with physician billing required.

Previous Cash Application and Credit Resolution experience required.

Previous Epic experience preferred.

Previous experience using electronic medical records systems preferred.

Previous experience with diagnosis and CPT coding terminology required.

Previous experience working with third-party payor rules, procedures, and policies in physician billing required.

Medical terminology certification preferred.

Technical Knowledge or Skills :

PC experience and MS Office (Word and Excel) required.

Ability to communicate effectively in English, both orally and in writing.

Ability to use or learn to use a range of position-related software applications.

These may include standard software packages as well as networked systems, email, the internet, and other types of information.

Pay Range :

$23.08 - $33.79 hourly

Required Documents :

Resume

Cover Letter

When applying, the documents MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.