Patient Account Team Lead

Patient Account Team Lead Chesapeake Regional Medical Center - 2.9 Chesapeake, VA Job Details 1 day ago Qualifications Cash application Payment processing High school diploma or GED Medical billing account reconciliation

Full Job Description Summary:

This position provides management support to the Manager with directing the daily workflows and acts as the most senior representative of the unit. Patient Accounting Lead acts as a technical resource to the unit and should possess extensive knowledge and experience in handling all aspects of Patient Accounting, to include billing of insurance claims through final resolution of the claim, denial prevention and management. Essential Duties and Responsibilities These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned. Coordinate daily workflow activities to support efficient and effective revenue cycle operations. Monitor billing, claims, follow-up, cash posting, and work queues to ensure timely account resolution. Assist management with onboarding, training, cross-training, and ongoing staff development. Serve as a resource to team members regarding payer requirements, billing processes, and account resolution. Review aging accounts and assist with timely follow-up of unpaid, denied, or unprocessed claims. Submit and monitor electronic and paper claims to ensure prompt reimbursement from third-party payers. Monitor CFB and DNFB accounts to promote timely claim submission and reduce reimbursement delays. Research and resolve complex account issues, including credit balances and payer discrepancies. Communicate with insurance carriers through phone, email, online portals, and other approved channels to resolve claims. Prepare and maintain departmental productivity, quality, and performance reports as requested. Assist with quality assurance activities and ensure accurate, complete, and compliant account documentation. Provide coaching and workflow guidance to staff to promote consistency, accuracy, and adherence to established processes. Maintain advanced knowledge of payer contracts, insurance regulations, and reimbursement requirements across multiple carriers. Participate in customer service and service recovery efforts to support a positive patient financial experience. Complete special projects, process improvement initiatives, and professional development activities as assigned.

Supervisory Responsibilities Reports to:

Manager, Patient Accounting Supervises:

n/a

Responsibilities:

n/a Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience Minimum Required Education:

High school diploma or equivalent required

Experience:

5+ years of experience across the following areas: billing or resolving insurance accounts receivable, adjudicating insurance claims, pre-registering or registering patients for healthcare services, processing electronic insurance payment remittances, deposit management, cash reconciliation, handling calls in customer service call center. Bachelor's degree may be substituted for two years of experience.

Certificates, Licenses, Registrations :

A healthcare certification is required within 1 year from date of hire/transfer. Education Required High School or better in General Studies Preferred Associates or better in Business Administration Associates or better in Health Administration Licenses & Certifications Required Certified Revenue Special Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.