Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of an Accounts Receivable Team Lead

• Assists with operations of the Accounts Receivable department encompassing working aged AR, denied claims, rejected claims, over/under payments, high priority accounts, reimbursements, eligibility, patient benefits, proper insurance identification, use of payor portals, claim denials, and clearing house rejections.

• Acts as the first line for day-to-day questions, provides training regarding account receivable follow-up, appeals, claim corrections, insurance verification, credit balances, underpayments, and authorization/ referrals, and other various types of denials/claim issues.

• Ensures that the activities of the Accounts Receivable department are conducted in a manner that is consistent with overall department protocol, and follow Federal, State, and payer regulations, guidelines, and requirements.

•   Leverage available resources and systems (both internal and external) to analyze patient accounting information and take appropriate action for payment resolutions, document all activity in accordance with organizational and client policies.

• Analyzes trends impacting revenue and outstanding receivables and takes appropriate action.

• Maintains desk level reference guide, training resources and provides guidance to team as needed day to day.

• Keep up to date with carrier rule changes and distribute the information within the team.

• Assists with performance reviews for all direct reports.

• Assists with development of Accounts Receivable office policies and procedures.

•   Demonstrate clear proficiency in third-party billing requirements to include federal, state, and commercial/managed care payers.

• Troubleshooting patient billing complaints, develops process improvements to prevent recurrences.

• Supervises staff, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.

•   Interpret claim denials, scrubber edits, and rejections and takes appropriate action necessary to resolve issues.

• Seek resolution to problematic accounts and payment discrepancies.

• Supports leadership in oversight of designated Revenue Cycle Management tasks to ensure all RCM functions are worked within the established timeframes.

• Ensures that quality of work is maintained, and that compliance policies and procedures are followed through billing operations.

• Conduct team meetings to educate on insurance guidelines, pertaining to department processes and responsibilities.

• Maintain patient confidentiality and function within the guidelines of HIPAA.

• Provide resolution support and guidance surrounding all billing processes and the performance management of all direct reports.

• Ensure adherence to healthcare law, rules, and regulations.

• Performs other miscellaneous duties as assigned pertaining to job level.

Education and Licensure Requirements

• High school diploma or equivalent.

• 2+ years of supervisory experience in a similar role.

• Preferred