Job description

Join our growing team! Our anesthesia group is seeking an experienced Team Lead, Accounts Receivable/Medical Claims Specialist. This is a full-time Monday-Friday (40 hour per week), on-site, position. Prior experience in Leadership and anesthesiology billing a plus. Essential Duties/Responsibilities • In support of the Business Office Manager, provide direction, instruction and guidance to the team members acting as an expert related to daily management of accounts receivable quota’s and operations. Monitor and assign A/R work via system functionality. • Communicate directly to Business Office Manager regarding patterns and trends being found with specific work queues. Review billing acceptance/rejection reports, communicating any discrepancies/errors to the Business Office Manager. • Produce and analyze medical billing reports in Microsoft Excel format to monitor payor performance. Participate in Accounts Receivable Special Projects and Payor Claim Projects. • Participate in required vendor/internal meetings for all coding/billing systems related to system functionality with Business Office Manager to report, resolve or enhance systems ensuring productivity and accuracy of AR Team members. • Participate in onboarding team members with creating system log on and training as assigned by Business Office Manager. • Provide feedback, resolve issues. • Coordinate all aspects of commercial electronic billing ensuring claims are submitted and payments are received on a timely basis. • Resolve patient written and verbal correspondence, including telephone coverage, regarding payments, coordination-of-benefits, pre-existing conditions and accidents/injuries. • Resolve payor rejections, incorrect payments/submits corrected claims and appeals for commercial insurance and workers compensation. • Demonstrate responsibility for software system maintenance and updates including: o Oversee the maintenance and functionality of billing software systems, ensuring optimal performance and minimal downtime. o Coordinate with IT and software vendors to implement system updates, patches and enhancements in a timely and efficient manner. o Monitor system performance, troubleshoot issues and ensure data integrity and securely within the billing platform. o Provide training and support to team members on system changes and new features to ensure smooth adoption and continued productivity. • Experience/Qualifications • - Medical billing: 4 year (Preferred) • - High school diploma or equivalent (Required) • - Knowledge of EMR • - Demonstrates strong computer skills including knowledge of Microsoft Office Word and Excel files, Outlook, and Microsoft Teams. • Extensive knowledge of eligibility verification with all payers. • Experience in an accounts receivable environment. • Knowledge of medical billing: denials, appeals, secondary billing. • Understanding and adhering to HIPA and PHI guidelines • Ability to multi-task, organized and detail oriented. • Other necessary skills include analytical and problem-solving skills • Excellent organizational and prioritization skills • Able to work both independently and as part of a team • Capable of making timely, independent decision • Proficiency in ICD 10, CPT coding and modifiers • Understanding of insurance EOB’s and denials • Understanding of reimbursement protocols Work Remotely • No Job Type: Full-time Pay: $25.00 - $30.00 per hour Expected hours: 40 – 50 per week Benefits: • 401(k) • 401(k) matching • Dental insurance • Flexible schedule • Flexible spending account • Health insurance • Life insurance • Paid time off • Vision insurance Schedule: • 8 hour shift Ability to Commute: • Hartford, CT (Required) Ability to Relocate: • Hartford, CT: Relocate before starting work (Required) Work Location: In person

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