Sr. Accounts Receivable Representative

TeamHealth is named among the Top 150 Places to Work in Healthcare by Becker's Hospital Review. Newsweek Magazine recognizes TeamHealth as ‘one of the greatest workplaces for diversity, 2024’ and TeamHealth is also ranked as ‘The World’s Most Admired Companies’ by Fortune Magazine. TeamHealth, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!

What we Offer:

• Career Growth Opportunities
• Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
• 401K (Discretionary matching funds available)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles

JOB DESCRIPTION OVERVIEW:
The Sr. A/R Representative is responsible for monitoring workflow trends and communicating to the A/R Supervisor and A/R Manager. The Sr. Representative is a resource for their assigned team and is responsible for compiling and preparing reports utilizing the Enterprise Task Manager System and the Informatics Reporting system when needed. The department’s goal is to ensure claims are processed in a timely manner in support of the provider’s

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Responsible for training new employees and monitoring new employee production and QA. Reporting any concerns to the Supervisor and/or Manager
• Review No Activity PIT and Rejection PIT (Point in Time) Report for Open and Pended invoices for problematic areas, with escalation to Supervisor and/or Manager
• Review No Activity Outcome Report to Verify Invoices are worked properly
• Assist assigned team as needed to reach Monthly Metrics and Goals
• For each assigned team member review work performed, prepare QA reports and communicate to each team member
• Review carrier manuals and websites and informs management of any new procedures implemented by the carrier that are impacting claims
• Process Non-Routine Write-off adjustments as needed
• Ensures corrected invoices are being processed within schedule and according to the individual insurance company plans policy
• Communicate with the No Activity Supervisor and the A/R Manager on the progress of projects and assignments and progress toward completion on a timely basis
• Work and maintain ETM escalation view
• Provides departmental leadership through example by performing in a No Activity lead capacity
• Assists No Activity Supervisor to ensure that Analysts are performing assigned duties and adhering to billing center/departmental policies, procedures and Code of Conduct

QUALIFICATIONS/EXPERIENCE:

• Thorough knowledge of physician billing policies and procedures
• Computer literate, working knowledge of Excel
• Able to work in a fast-paced environment
• Good organizational and analytical skills
• Good oral and written communication skills
• Ability to work independently
• Ability to lead assigned team
• High school diploma or equivalent
• Minimum 3 years of medical billing experience required with emphasis on A/R Analysis
• General knowledge of ICD and CPT coding