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The Patient Accounts Team Lead is responsible for the supervision and troubleshooting of billing and follow up issues that arise from patient accounts, for the daily, weekly, and monthly reporting in the areas of billing, follow up, cash posting, etc., and for acting as the liaison between the patient accounts department and outsource vendors.

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.

+ Ensure effective and efficient work flow of the department

+ Assist Patient Accounts management in the training and orientation of all new employees

+ Prepare daily, weekly, and monthly reports that track the progress of the department's billing, follow up, and cash posting areas

+ Complete special projects and analysis as assigned in a timely manner

+ Maintain an extensive understanding of various insurances/requirements and stay abreast of changes

+ Submit electronic and paper claims to appropriate insurance payers

+ Follow up in a timely manner on unprocessed and/or unpaid claims until resolution is reached by working work queues

+ Make phone calls, use the internet, or send emails per payer specifications to follow up on claims in question

+ Enter and analyze information in billing system to record action in clear concise manner

+ Ensure that all documentation is clear, concise, and to the point, but contains enough information for understanding of work performed and actions needed

+ Ensure that the appropriate documentation, correspondence, emails, etc. are scanned into accounts for accurate documentation of work performed and status of the account

+ Accurately post payments and adjustments as appropriate per billing and payment policies and procedures, payer explanation of benefits, and management guidelines

+ Research credit balances to resolve accounts

+ Understand and use the department computer system in an effective and proficient manner

Education and Experience

Minimum Required Education: High school diploma or equivalent

Preferred Education: Associates or Bachelors Degree in Business or Healthcare Administration

Experience: 5+ years’ experience in an acute care setting with extensive knowledge of hospital billing and follow-up

Certificates, Licenses, Registrations

Applicant must be a Certified Patient Account Technician (CPAT) at hire.