Genomics Accounts Receivable Analyst Team Lead

Cbr Systems - Trumbull, CT

Full-time - Mid Level

Trumbull, CT

Ambulatory Health Care Services

About the position

The Genomics Reimbursement Analyst Team Lead plays a crucial role in the Genomics Revenue Cycle team at CooperSurgical, under the guidance of the Genomics Revenue Cycle Manager. This position is designed for an experienced professional who will lead a team of Accounts Receivable specialists, ensuring the timely and effective processing and collection of payments. The Team Lead will engage in all aspects of accounts receivable activities, which include billing and charge entry, payment posting, accounts receivables analysis, and customer service functions. In this leadership role, the Team Lead will coordinate accounts receivable workflows and daily work assignments, train new staff, and establish policies and procedures to enhance team performance. The position requires a strong understanding of medical billing conventions, insurance payor requirements, and the ability to analyze accounts receivable key performance indicators (KPIs). The Team Lead will also be responsible for resolving escalated patient concerns and collaborating with other departments to address interdepartmental challenges. CooperSurgical is dedicated to providing innovative solutions in fertility and women's healthcare, and this role is integral to supporting the financial operations that underpin these services. The successful candidate will contribute to the overall mission of the company by ensuring that the revenue cycle processes are efficient and effective, ultimately benefiting families and healthcare providers alike.

Responsibilities

• Accurately bill charges for completed lab tests based on test requisition form and laboratory final report.
• Post payments, denials, and correspondence from all sources in the billing system.
• Confirm and reconcile all payments to banking source on a daily basis.
• Follow-up on denials and no response insurance claims.
• Daily monitoring and resolution of 'EP Denial' errors to ensure 'clean claim' submission and reduce days in AR.
• Research eligibility rejections including contacting patients to determine current insurance coverage.
• Communicate findings of payer trends to Manager.
• Weekly analysis of 'aged trial balance' report.
• Research refund requests from patients and insurance; prepare and document refunds for referral to AP.
• Support the processes for past-due collections, including pre-collection 'soft calls' to patients.
• Compile accessions which have completed the dunning cycle for referral to outside collections.
• Coordinate with outside collection agency on reconciliation of accounts.
• Follow-up on outstanding 'Client-Bill' AR.
• Assist customer service representatives with resolution of patient billing questions received electronically or via telephone.
• Daily monitoring and coordination of work assignments for AR team.
• Assist team members with escalated patient concerns.
• Train new staff.
• Liaise with other team leads/managers on resolution of interdepartmental challenges.
• Report and collaborate with manager on resolution of 'big picture' trends and issues.
• Establish policies and Standard Operating Procedures (SOP).
• Analyze AR key performance indicators (KPI).

Requirements

• Bachelor's Degree
• 5 years' experience effectively working with and leading a team
• Credit and collection experience
• Healthcare revenue cycle operations experience
• Customer service experience preferred
• Knowledge of medical billing conventions including CPT, ICD-10, explanation of benefits, CMS-1500 form and client-style billing
• Thorough comprehension of the differences between in-network insurance claims and out-of-network insurance claims
• Complex understanding of insurance payor requirements, guidelines, and appeals processes
• Extensive knowledge of patient out-of-pocket expenses including co-pays, deductibles and co-insurances
• Computer competencies to include solid grasp of MS Word and above-average skill with MS Excel
• Excellent written and verbal communications skills
• Ability to think critically and problem-solve with an eye toward root-cause analysis
• Ability to clearly, concisely and respectfully delegate tasks and communicate feedback to team members
• Willingness to work collaboratively and build relationships within the department/organization and externally
• Reliability, good organization skills, and able to take direction
• Must be able to maintain confidentiality of data including HIPAA, SOX and other similar regulations
• Consistently meet deadlines in a fast-paced, changing, and high-tech environment
• Passing of background check, which may include verification of prior employment, criminal conviction history, educational, and driving records.

Nice-to-haves

• Experience in a healthcare setting
• Familiarity with fertility and women's healthcare services

Benefits

• Medical coverage
• 401(k)
• Parental leave
• Fertility benefits
• Paid time off for vacation, personal, sick and holidays
• Multiple other perks and benefits