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INSURANCE A / R CLAIMS TEAM LEAD (WEST COAST)

INSURANCE A / R CLAIMS TEAM LEAD (WEST COAST)

IVI AmericaBasking Ridge, NJ, US
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Job Description

Job Description

RMA is seeking a INSURANCE A / R CLAIMS TEAM LEAD for our Basking Ridge, NJ location.

The INSURANCE A / R CLAIMS TEAM LEAD is responsible and accountable for the financial services that handle all aspects of patient financial service with regard to patient billing account issues. This includes, but is not limited to, account reviews, address patient concerns, billing, and collections. This is a senior staff position that involves supervising other staff. This position works with minimal instruction or direction.

Essential Functions and Accountabilities

  • Review voicemails and emails on a daily basis to ensure that all patient and department requests are addressed and answer questions on financial policies and billing account reviews to ensure patients understand their account balance
  • Ensure patient billing account accuracy by verifying EMR records against billing system
  • Answer patient calls and or correspondence as it pertains to billing questions, financial policies, claims submission and any other finance related issue.
  • Support Central Business Office by effecting daily and monthly close.
  • The recruitment, selection, retention, training and supervision of team personnel.
  • Overall leadership to assure all team members (1) have a clear sense of their role, (2) know the results expected, (3) understand and accomplish what is required to achieve Company goals and objectives, (4) know how well the team is performing, and (5) are motivated to achieve and continuously improve results; Creation of a work environment that encourages the achievement of individual goals consistent with Company goals, and recognizes and rewards individuals for their unique contributions.
  • An internal communication climate and network that promises open, accurate, timely, and two way exchange of information, ideas and concerns; the assurance that all financial coordinator team employees are accountable and responsible for their results and are recognized for their achievements.
  • Maintain Finance Department operations by following policies and procedures; studying existing and new credit and insurance information; enforcing adherence to requirements; advising management on needed actions and / or changes.
  • Assist with more difficult patient billing issues.
  • Monitor that phones are being covered and calls are being answered in a timely manner.
  • Assist the Management team develop and implement workflow for new products, services, and processes; help analyze the effectiveness of new products, services, and processes once implemented.
  • Accept other billing projects as assigned by Management and Senior Management.
  • Contribute to team effort by maintaining an excellent rapport and working relationship with Patient Services, and cooperating with other departments within the network

Supervisor Responsibilities :

  • Managing team PTO requests.
  • Timesheets and payroll
  • The pledge that financial coordinator team job results are achieved and sustained by coaching, counseling, and disciplining, as well as planning, monitoring, and appraising job results.
  • Academic Training :

  • Associate Degree in accounting or business or a technical training diploma.
  • High School Diploma acceptable with appropriate hands-on medical billing experience.
  • Position Requirements / Experience :

  • Minimum 2 years' experience in billing experience- required
  • Working knowledge of all insurance types and guidelines, including the ability to read and interpret EOB's - required
  • Working knowledge of ICD 10's and CPT4 - required
  • Technical Skills :

  • Ability to access, input, and retrieve information from a computer (keyboard skills 30-40wpm).
  • Medical software program experience required, Excel a plus.
  • Knowledge of office procedure and office machines (i.e., computer, fax, copier, etc.).
  • IVI-RMA offers a comprehensive benefits package to all employees who work a minimum of 30 hours per week.

  • Medical, Dental, Vision Insurance Options
  • Retirement 401K Plan
  • Paid Time Off & Paid Holidays
  • Company Paid : Life Insurance & Long-Term Disability & AD&D
  • Flexible Spending Accounts
  • Employee Assistance Program
  • Tuition Reimbursement
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    Team Lead • Basking Ridge, NJ, US

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