Team Leader - Healthcare

Job Responsibilities

Review adjudicated claims for accuracy and final resolution

•Issue adjusted, corrected, and/or rebilled claims to insurance companies

•Review and analyze claims denials to perform the appropriate appeals necessary for reimbursement

• Reviewing aging reports and prioritizing collection efforts.

•Send out insurance appeal in a timely manner and follow up with insurance to ensure receipt and processing

•Communicates directly with the payor, resubmits denied claims, underpaid claims or inaccurately processed

•Identifies, documents, and communicates trends in recurring denials and recommends process improvements or system edits to eliminate future denials

•Documenting all communication and actions taken in the billing system.

•Work with all areas of the department to assure maximum productivity

•Providing excellent customer service to patients and insurance representatives.

Requirements

Skills:

•Knowledge of Denial Management/AR collection

• Knowledge of Epic Software
• Ability to use a Windows based computer system and common business software found in Microsoft Suite (Excel, PowerPoint, Outlook etc.)
• Experience from provider side