Med-Metrix एक हेल्थकेयर SaaS कंपनी है, जिसके बारे में सार्वजनिक रूप से सीमित जानकारी उपलब्ध है। उपलब्ध जानकारी से यह पुष्टि होती है कि इसका काम हेल्थकेयर और सॉफ्टवेयर दोनों क्षेत्रों तक फैला है, लेकिन इसके विशिष्ट उत्पादों, सेवाओं, मिशन या टीम की कार्यप्रणालियों का विश्वसनीय वर्णन करने के लिए पर्याप्त विवरण उपलब्ध नहीं है। उम्मीदवारों को भूमिका-विशिष्ट जानकारी के लिए अलग-अलग नौकरी विवरणों और कंपनी की वर्तमान सामग्री की समीक्षा करनी चाहिए।
Senior Accounts Receivable Team Lead – Medical Billing (New Jersey Remote)
Med-Metrix is seeking a remote Accounts Receivable Team Lead in New Jersey to support medical claims recovery. The role oversees collections, appeals, payer follow-up, quality monitoring, and team training.
विवरण
- Coordinate Accounts Receivable department activities and operations in support of management.
- Answer questions and provide ongoing support to global team members.
- Deliver initial training on the client host system.
- Monitor Accounts Receivable Representatives’ productivity and quality.
- Use one-on-one evaluations to identify improvement opportunities for the Accounts Receivable team.
- Contact payers by phone, email, fax, or website to resolve outstanding claims.
- Maintain departmental productivity and quality standards while addressing training needs.
- Use workflow systems, client host systems, and other tools to collect payments and resolve accounts.
- Follow client and team policies and procedures.
- Monitor payer timely filing deadlines.
- Initiate appeals when required.
- Identify and correct medical billing errors.
- Submit accurate appeals, requested information, supporting documentation, and clear communications to complete recovery processes.
- Investigate and resolve issues that delay payer payments.
- Analyze and trend claims issues to help reduce denials proactively.
- Interact cooperatively and courteously with patients, visitors, coworkers, management, and clients.
- Use, protect, and disclose protected health information in accordance with HIPAA standards.
- Perform other duties as assigned.
आवश्यकताएँ
- High school diploma or equivalent is required.
- Required experience includes insurance collections, claim submission, and claim follow-up for a medical practice, medical facility, medical billing company, or ambulatory surgical center.
- Experience training new users.
- Knowledge of denied-claim and appeals processes.
- Understanding of underpayments and credit-balance processes.
- Experience with practice management systems; EPIC PB, Allscripts, and/or Cerner is preferred.
- Extensive knowledge of individual payer websites, including Navinet and Novitasphere.
- Knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes.
- Proficiency with Microsoft Office Suite, including basic Excel skills.
- Strong interpersonal skills and the ability to communicate effectively across the organization.
- Strong problem-solving and creative abilities, with sound judgment and the capacity to make decisions from accurate, timely analysis.
- High integrity and dependability, with a strong sense of urgency and results orientation.
- Excellent written and verbal communication skills are required.
- Maintain confidentiality and a professional attitude at all times.
- Must have a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.
- Ability to follow directions, collaborate with others, and manage stress.
- Must comply with HIPAA and information security policies and procedures.
- Must restrict access to protected health information to the minimum necessary for assigned duties.
लाभ
- The posting does not specify benefits, perks, or additional compensation.