Accounts Receivable Team Lead (REMOTE)

Description

About Our Company

Advanced Diabetes Supply® was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply® to a national leader in the industry. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best. We strive to maintain a casual, fun environment whenever possible, but we don’t just play around. We work hard every day to provide a positive work culture and respectful atmosphere. The standards we set for ourselves are high, and we love to be challenged! If you enjoy working in a collaborative environment, have a passion for excellence and a bias for action, we may be just what you’ve been looking for.

Interested in learning more about our company and its culture? Visit us at www.northcoastmed.com

About The Position

Hours: 8:00 AM to 4:30 PM ET, Monday to Friday

Location: Remote

The Accounts Receivable Team Lead performs day-to-day AR functions 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. They will work within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams.

Essential Functions

• Provides ongoing support to team 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.
• Assists supervisors in ensuring staff adherence to company policy and procedures.
• Assists supervisors in related personnel documentation as required, necessary, or appropriate.
• Acts as a subject matter expert in claims processing.
• Processes claims: investigates insurance claims; properly resolves by follow-up & disposition.
• Lead and manage escalation projects, addressing complex issues and ensuring timely resolution to maintain optimal account receivables performance and client satisfaction.
• Resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement.
• Verifies patient eligibility with secondary insurance company when necessary.
• Bills supplemental insurances including all Medicaid states on paper and online.
• Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage, ensuring all claims are accurately processed and followed up in a timely manner.
• Manages billing queue as assigned in the appropriate system.
• Investigates and updates the system with all information received from secondary insurance companies.
• Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made.
• Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy.
• Updates patient files for insurance information, Medicare status, and other changes as necessary or required as related to billing when necessary.
• Maintains accurate and detailed notes in the company system.
• Adapts quickly to frequent process changes and improvements.
• Is reliable, engaged, and provides feedback as to improve processes and policies.
• Attends all department, team, and company meetings as required.
• Appropriately routes incoming calls when necessary.
• Meets company quality standards.
• Embraces and exemplifies ADS core values:
• We put our people first.
• We serve our members with passion.
• We take ownership.
• We pursue excellence.
• We never stop growing.

Other Responsibilities

• May perform any additional responsibilities or special projects as required.
• Duties and responsibilities may be subject to change based upon the needs of the department.
• May provide cross-functional support as business needs demand.

Requirements

• High School diploma or equivalent
• 3 years’ experience with insurance billing and processing claims
• 3 years’ experience with Medicare claims, and Medicare and private insurance verification
• Knowledge of insurance portals; familiarity with a variety of medical and/or insurance t