Elevate Patient Financial Solutions

Compensation

Full Description

Elevate Patient Financial Solutions has an exciting career opportunity available as an AR Follow Up Team Lead. This position will be remote based. The Full Time schedule for this role will be 8AM-5PM, Monday-Friday. Job Summary The primary responsibility of an A/R Follow Up Team Lead is to manage A/R workflow within PIA and Task Manager, and to serve as the key specialist responsible for communication between Pathology Insurance Operations and the Pathology team within Patient Operations (call center). The team lead is responsible for ensuring that offshore is meeting benchmarks in productivity and accuracy within a timely manner for unpaid claims follow up and PIA work items. Essential Duties and Responsibilities • Supervise account resolution process to help resolve issues and implement proactive steps to avoid issues from becoming escalated. • Ensuring that offshore resources are following up on unresolved claims, including appeals, to identify why payment has not been received by the carrier. • Ensuring that offshore resources are taking appropriate actions to resolve issues in a way that results in payment and/or complete closure of insurance balance. • Ensures that offshore resources are maintaining Editor-Level benchmarks within the PCP application to help resolve any issues that delay charge entry into GPMS within the Edit and/or Pre-Loading queues. • Ensures that GPMS claim edits are worked accurately, and within a timely manner to eliminate any delay to the claim submission process. • Closely monitors reports, looks for trends & unusual occurrences. Escalates and implements immediate and effective steps to rectify situations. • Act as a resource for offshore questions or issues, and provide guidance, direction, and training and retraining as needed. • Handle escalated issues from Offshore, Management, Client Services, and Patient Operations. • Ensures that outbound claims and patient statements are printed, processed, and distributed in a timely manner. • Serve as a key specialist for questions of Collection Agency. • Other duties as assigned. Qualifications and Requirements • 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 abilities. • High School Diploma or GED required • Medical billing experience preferred. • Problem solving, research, organization, detail oriented, flexibility to work on competing priorities. • Able to work independently, identify patterns, make informed decisions, correctly identifying root causes to determine appropriate actions and outcomes. • 2+ years Office experience in which problem solving and research were major keys to success. Prior computer experience is required. • Ability to completely and concisely summarize important details in account notes and excellent verbal communication skills are a must. • Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria. Benefits ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. • Medical, Dental & Vision Insurance • 401K (100% match for the first 3% & 50% match for the next 2%) • 15 days of PTO • 7 paid Holidays • 2 Floating holidays • 1 Elevate Day (floating holiday) • Pet Insurance • Employee referral bonus program • Teamwork: We believe in teamwork and having fun together • Career Growth: Gain great experience to promote to higher roles The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage. The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change. ElevatePFS is an Equal Opportunity Employer