Accounts Receivable Team Lead

Job Description

Gastro Health, LLC is the largest gastroenterology multi-specialty group in the country, with over 90+ locations throughout 6 states. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience.

We offer a comprehensive benefits package to our eligible employees, which includes: Health, Dental, Vision, Paid Time Off, Life insurance, 401k, Profit Sharing Plan, Short & Long-term disability, HSA, FSA and Corporate Holidays.

Are you ready to be a part of the Gastro Health family? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Key Responsibilities:

• Directly oversees and supervises day to day operations of the Accounts Receivable (AR) teams.

• Respond to any process related questions and manage 1st level escalations.
• Prioritize, assess, and re-prioritize daily workflows to ensure timely execution of AR and meeting/exceeding goals/KPI.
• Assist with creation of front-end scrubs/edits based on denial management review.
• Effectivity manages the team through streamlined improvement initiatives to ensure the team is highly effective for the providers.
• Participate in new project assignment and work towards proper transition of knowledge to team.

• Actively participates and maintain strong new hire training process and assist with policy/procedure documentation and process workflow.
• Conduct audits of team members to ensure quality initiatives are being met and exceeded.
• Identify and document trends in underpayments, denials, aging receivable that compromise the ability of the AR team to meet established goals.
• Assists with resolution of complex claims or projects and trains team to improve follow up efforts.
• Strong analytical skills to prepare project data with external payors and partners.

• Motivate, train, evaluate, record and report team members performance and progress.
• System matter expert of all AR functions across the team to maintain a highly efficient and productive team and to ensure process can be trained effectively.
• Assist Management in establishing weekly/monthly goals, ensure AR team members are utilizing all resources and meeting and/or surpassing weekly/monthly KPI’s.
• Assist manager with preparing weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
• Research and maintain understanding of policy changes across the RCM markets.

• Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflows.
• Assist manager in the interview process.
• Assist with preparation of team meetings focused on collaboration and process improvement.
• Assist Manager with employee performance appraisals and work with the accounts receivable team on skill development.

Required Skills and Qualifications:

• Associates or Bachelor’s Degree is highly preferred but experience may be substituted for education.
• 5+ experience in healthcare industry and 1+ years of supervisory experience/leading a team, in healthcare revenue management cycle roles encompassing all phases of the revenue cycle management.
• Experience with a large, growing healthcare organization supporting 100 or more providers and overseeing 10+ team members.
• Experience with a large Practice Management (PM) System, eCW (E Clinical Works) is a plus but not required.

• Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
• Certified coder preferred, but not required.
• Excellent communication skills both verbal and written.
• Able to analyze data and quickly identify process-based issues for remediation.
• Maintains confidentiality in all matters that include Patient Health Information and employee data.

• Hands-on participation in process/workflow design including team member involvement across the department.
• Intermediate experience with Microsoft Excel and Office products is required.
• Target Oriented and AR resolution mindset
• Prior experience collaborating with a remote team is highly preferred.