An A/R Lead for Four Winds Health is responsible for supporting all aspects of the Revenue Cycle for our Urgent Care Centers. Lead Responsibilities (25% Time) Provide training as needed for new hires and re-training for existing team members to include but not limited to new processes and process improvement Provide regular real-time feedback to team members (using SMART method) in positive, constructive manner to improve results of team members Responsible for proactive identification of trends as well as recommendations to mitigate denials or delayed payments Keep team informed of performance via knowledge and articulation of key metrics Responsible for escalations and secondary reviews of accounts that require additional examination Foster engaged work environment by sharing information, teaching others and celebrating team wins Additional Responsibilities (75% Time) Billing for our Urgent Care Centers using our internal software Identify the need for addition/correction of payer information Performing insurance verification Working with the Revenue Cycle Management to identify & resolve issues related to billing, coding and the billing system and process flow Interfacing with PFS FreshDesk ticketing system to assist in patient outreach resolution Daily oversight of clearinghouse and practice software edits Knowledge of primary, secondary and third-party payer processes All other responsibilities as applicable Minimum Qualifications 4+ years of experience in revenue cycle Urgent Care Billing experience is a plus Required Skills Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims Knowledge of medical terminology and billing practices Excellent Computer skills - expertise in MS Office including Word, Excel and PowerPoint Experience in using one or more Practice Management Systems/Billing Software - EPIC preferred Must be able to work effectively in a remote environment while staying connected, collaborative and engaged with team members Must be able to motivate and inspire team members to meet team goals in a project oriented environment Excellent documentation, verbal and written communication skills Extremely organized with a strong attention to detail and ability to adapt to change Minimum 40 hour work week - some overtime may be required.
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