Leads account resolution activities for a medical revenue cycle department, including staff training, audits, client performance monitoring, insurance plan setup, charge follow-up, team assignments, SOP collaboration, and resolution of patient escalations. Communicates with clients and vendors while ensuring billing activities meet established goals and timelines.
Are you interested in working with an authentic team who care about their clients and employees? PBS is committed to excellence in revenue cycle, practice improvement, and service to physician practices. We are looking for experienced, talented individuals who value integrity, innovation and teamwork.
Position Summary:
The Lead Account Resolution (AR) Specialist handles training for all AR departmental staff, answering questions, performing audits, and monitoring client performance levels to ensure numbers align with established goals, reporting any deficiencies to their direct supervisor or manager. The Lead will communicate with clients and vendors as needed.
Primary Job Duties:
- Monitor pre- and post-charges areas in software to ensure charges are billed and followed up on time.
- Create new insurance plans in software.
- Supply team assignments as directed by Account Resolution Supervisor or / manager.
- Supply on-going training for staff.
- Collaborate with Account Resolution Supervisor for Standard Operating Procedures (SOP).
- Communicate with clients and vendors as needed.
- Answer Account Resolution Requests/Patient Escalations on time.
- Performs additional duties as directed by Account Resolution Supervisor / manager.
Travel
Some travel is expected for this position based on business needs.
QualificationsRequired Education and Experience
- High school diploma or GED diploma
- 2 years’ related experience in the Account Resolution role, or equivalent combination of education and experience.
Preferred Education and Experience
- Knowledge of medical terminology
- Knowledge of online systems for eligibility and status review of claims.
- Ability to work effectively with minimal supervision exercising independent judgement within guidelines.
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