Lead, AR Recovery

Company: FinThrive
Location: Plano
Posted on: October 23, 2024

Job Description:

About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive's vision for healthcare revenue management visit finthrive.com/why-finthrive.

Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at https://finthrive.com/careers#culture.

Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit finthrive.com/careers-benefits.
About the Role
Impact you will make
As Lead, AR Recovery, you will organize and manage the daily activities for team of AR Follow-Up Representatives. The team's primary function is to identify and validate revenue opportunities associated with insurance eligibility and coverage plans. The Lead will be responsible for selecting talent, onboarding, training and growing associates to the next level. This role will also be accountable for quality assurance, productivity metrics and the performance management of their team. In this role you will develop operational expertise and possess the ability to navigate multiple patient accounting applications.

What you will do

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• Maintain an adequately trained staff to handle current production goals within department
  
• Monitor and ensure that the daily production goals and quality of work are being achieved by the staff
  
• Perform daily and weekly QA audits to ensure accounts are worked in accordance with client work standards and project objectives (e.g., No Activity, Aging, Cash Recovery)
  
• Perform workflow management of the team as well as making recommendations on enhancements to processes
  
• Partner with the talent acquisition team to interview and select candidates, assist in successfully onboarding a team of Revenue Cycle Representatives
  
• Create and deliver appropriate onboarding, training and development to all current and future associates
  
• Provide coaching and development daily through informal observation and formal monitoring. This includes monitoring telephone calls, voice and emails and conducting side-by-sides. Complete and maintain required documentation regarding performance and training/development needs. Review documentation with staff members
  
• Work collaboratively with leadership and other team members to confirm, challenge, or provide trending and solutions
  
• Serve as liaison between internal team and client staff, when needed, to resolve accounts
  
• Create client reports and invoices
  
• Review output of team and determines appropriate assignment of KPI targets
  
• Meet with each member of the team regularly to provide coaching and continuous feedback
  
• Proactively address training and skill gaps by creation of and delivery of training
  
• Understand cross-functional teams and looks for opportunities to enhance and integrate processes
  
• Integrate experience into team process and performance
  
  
  What you will bring
  
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  • 8+ years of experience in UB-04 Follow-Up and Contract/Reimbursement Analysis, including investigation of both pricing and reimbursement variances
    
  • 2+ years in a supervisory role
    
  • Medicaid, Medicare, and/or Commercial billing experience
    
  • Detailed understanding of healthcare insurance follow-up processes, including resolving non-paid, denied, under-paid, and rejected claims
    
  • Established understanding of HIT systems like EPIC, Paragon, Cirius, Zirmed or other billing systems.
    
  • Coaching and development skills with the ability to organize activities for a productive team and lead effectively with time and project management skills
    
  • Strong problem-solving skills with the ability to research complex information, create insights, communicate recommendations and implement appropriate solutions
    
  • Demonstrated ability to be innovative, coach/lead associate's, proactively address concerns (business and associate), and maintain departmental quality standards
    
  • Ability to work in a team environment, with strong interpersonal, leadership, and negotiation skills
    
  • Knowledge of computers for data processing, spreadsheets, and word-processing
    
  • Excellent communication skills both verbal and written
    
  • Demonstrated ability to work in a fast-paced multitasking regulatory, technical, and administrative environment
    
  • Demonstrated ability to maintain confidentiality in all matters relating to the position, including but not limited to performance, development needs, personnel actions, and departmental objectives
    
    
    What we would like to see
    
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    • Bachelor's degree from an accredited college or university
      
    • Certification in billing or medical coding
      FinThrive's Core Values and Expectations
      
      
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      • Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
        
      • Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
        
        
        Physical Demands
        The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
        
        
        Statement of EEO
        FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
        
        FinThrive Privacy Notice for California Resident Job Candidates
        
        Know Your Rights
        Pay Transparency Notice
        
        
        
        FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
        2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
        
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Keywords: FinThrive, Mesquite , Lead, AR Recovery, Other , Plano, Texas