Lead Rep, Accounts Receivable

What Accounts Receivable Team Lead contributes to Cardinal Health

The Accounts Receivable Team Lead performs day-to-day A/R functions in addition to leadership duties to the A/R team, with the goal of ensuring that all policies and procedures related to providing consistent, supervisor customer/patient care are adhered to, and service & production goals are met effectively and efficiently. The A/R Team Lead will work within the scope of responsibilities as dictated below with guidance and support from Insurance & Billing leadership teams.

Responsibilities

• Acts as team supervisor in supervisor’s absence, or as otherwise necessary or required.

• Provides ongoing leadership and support to associates to ensure that day-to-day service and production goals are met.

• Assists management in monitoring associates’ goals and objectives daily; motivates and encourages associates to maximize performance.

• Provides ongoing feedback, recommendations, and training as appropriate.

• Assist supervisors in ensuring staff adherence to company policy and procedures.

• Assist supervisors in the completion of performance evaluations & related personnel documentation as required, necessary, or appropriate.

• Remittance Posting: Manually posts Medicare payments received electronically into corresponding transactions.

• Processes and corrects eligibility reports and change recalls to ensure only active Medicare patients receive supplies.

• Ensures and verifies all auto post from EDI 835 Medicare transmittal and other remittance postings are complete, accurate, and timely.

• Provides follow-up support for all aged transmitted Medicare claims aged more than 30 days.

• Claims Processing – Investigates claims from Medicare; properly resolves by follow-up and disposition.

• Processes Medicare denials and rejections for re-submission (if possible) in accordance with company policy, regulations, and third-party regulations.

• Updates patient files for insurance information, Medicare status, and other changes as necessary or required.

• Accurately conveys information regarding billing/denials trends which will aide individual departments requiring billing.

• Mentors new hires; assists management with motivating and coaching employees to succeed.

• Comply with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.

• Maintains accurate and detailed notes in the company system.

• Adapts quickly to frequent process changes and improvements.

• Is reliable, engaged, and provides feedback to improve processes and policies.

• Attends all department, team, and weekly company meetings as required.

• Appropriately routes incoming calls when necessary.

• Meets patient service quality standards.

Qualifications

• High School diploma or equivalent

• 3+ years’ experience with insurance billing and processing claims preferred

• 3+ years’ experience with Medicare claims, and Medicare and private insurance verification insurance preferred

• Full knowledge of all areas of accounts receivable specialization

• Intermediate knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices

• Proficiency in basic math and business calculations

• Working knowledge of computer/data entry with the ability to learn new systems

• Intermediate level of MS Office proficiency

What is expected of you and others at this level

• Friendly, professional and effective communications skills; able to calmly present solutions in challenging situations

• Effective interpersonal skills

• Clear diction and knowledge of the English language, both written and verbal

• Service-orientation and aptitude to resolve insurance and/or patient matters

• Self-directed accountability and reliability

• Cultural competence

• Cross-trained on all accounts receivable processes

• Able to resolve highly escalated issues or concerns

• Able to mentor and train as needed

• Willingness and ability to demonstrate leadership and motivate and coach to succeed

Anticipated hourly range: $22.30 per hour - $32 per hour
 

Bonus eligible: No
 

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage<