Client Operations Insurance Team Lead

Job Description

Amplify, an Ovation Healthcare company is seeking strong Client Operations Insurance Team Lead will have a demonstrated record of accuracy and efficiency and must be proficient in their knowledge of billing regulations, claim form requirements and appeal processes for government or non-government payer sources.

 The ideal candidate will have a demonstrated record of time management skills, attention to detail, problem solving, and effective communication.

Qualifications

• Hospital/Collections or Medical Billing: 3+ years (Preferred)
• Team Lead/Supervisory Experience: 2+ years (Preferred)
• Work from Home Position Requires Reliable High Speed Internet Connection

Requirements

• Excellent analytical and critical-thinking skills.
• Self-motivated, capable of working in teams or independently.
• Excellent written and verbal communication skills.
• Proactive approach with willingness to undertake varied tasks.
• Understanding of HIPAA regulations in regard to patient information and permissible disclosures.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Excellent organizational skills and high level of attention to detail.
• Must adapt and demonstrate the ability to work independently from home in a fast-paced, changing and goal-oriented environment.

Essential Functions

• Ensure team completes the filing of all unbilled insurance accounts in a timely manner.
• Ensure that all accounts are in the correct location based on the age of the account and statused according to action needed or pending action.
• Ensure all filed insurance claims are followed up on timely according to department guidelines.
• Oversees insurance teams daily productivity and QA meet KPI goals. 
• Anticipate (troubleshoot) problems that may be encountered and bring them to leadership's attention.
• Act as communication channel for insurance reps and serves as first POC for workflow and billing questions.
• Responsible for quality and training for all insurance reps.
• Maintain accurate and up to date Wiki information, processes, and procedures.  Review quarterly for effectiveness and accuracy.
• Meet deadlines despite frequent interruptions and redefined priorities.
• Provide Out of Guideline reporting daily as assigned.
• All work standards not completed shall be reported to the Manager one hour prior to leaving for the day.
• Ability to give/receive complex verbal and written instructions to/from coworkers and clients/insurance payers.
• Complete the filing of all unbilled insurance accounts in a timely manner.
• Other duties as assigned.

Job Type:

• Full-Time

Schedule:

• Monday to Friday

Education:

• GED/High School Diploma

Work Location:

• One location

Work Remotely:

• Yes