Talent.com
AR Team Lead - Behavioral Health
AR Team Lead - Behavioral HealthMedusind • Orlando, FL, US
AR Team Lead - Behavioral Health

AR Team Lead - Behavioral Health

Medusind • Orlando, FL, US
11 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Description :

Medusind is a leading provider of revenue cycle management solutions to medical, dental, behavioral health, anesthesia, pathology, emergency, surgery, radiology, and other specialties. In January 2023, Alpine Investors, a people-driven private equity firm, invested in Medusind to continue to advance its leadership position as one of the top revenue cycle management companies in the country.

AR Team Lead is responsible to support the AR supervisor with claims follow-up, escalation, and troubleshooting activities related to the adjudication of all claims. This role is responsible for supporting a team and ensuring key performance indicators (KPIs) are met, including DSO, >

120 AR, and reducing write-offs. The ideal candidate has strong problem-solving skills, expertise in AR follow-up strategies, and a hands-on approach to improving claims adjudication success.

Key Responsibilities :

  • Phone Calls / meetings with customers
  • AR Follow-up- calls & portal

Claims Management :

  • Update claims status-move claims to appropriate Dept
  • Escalated Claims Expertise and execution
  • Rekick claims Resubmissions (NOF)
  • Investigation & Troubleshooting :

  • Investigate billing / contract issues
  • Investigate / confirm authorization details
  • Identify Underpayments (contract rate not met).
  • Denials Management :

  • Investigate / Escalate / Reprocess denials
  • Draft / Submit Written Appeals (TFL, non-covered services)
  • Request Medical Records for appeal (med Rec Internal)
  • Confirm cashed check status -Check tracers, balance bank-box
  • Investigate / Resolve Contract issues notify CSM
  • Negotiate SCA Rates Cross Training / SOP needs refinement
  • Negotiate Front-End (Multiplan, GCS) & back end-low pay appeals
  • Provide 91+ reporting (Determine scope / frequency)
  • Research Specific Payer Issues and work with Payer Provider contacts
  • Aging 120 special focus- Detailed report + Action plans
  • Account Assignments & the "health" of that account
  • Write off recommendations - to give to CSMs
  • Continuous Improvement :

  • Work with India leadership to ensure A / R functions being performed in India are meeting SLA's, quality, production, etc.
  • Requirements :

    Educational Background :

  • Bachelor’s degree in data Analytics, Business, Finance, Healthcare Administration, or related field (preferred).
  • Experience :

  • Behavioral Health RCM understands SUD / MH levels of care, and overall claims adjudication challenges. Strong understanding of AR follow-up strategies, payer reimbursement policies, and insurance claim adjudication processes.
  • Expert Industry Knowledge :

  • Proficiency in revenue cycle management platforms, workflow automation tools, and data analytics for AR tracking.
  • Knowledge of HIPAA, Medicare, Medicaid, and payer regulations.
  • Collaboration & Communication :

  • Ability to work independently and collaborate with cross-functional teams.
  • Detail-Oriented :

  • High level of accuracy, with the ability to set and maintain priorities in a fast-paced environment.
  • Create a job alert for this search

    Behavioral Team Lead • Orlando, FL, US

    Related jobs
    Senior Clinical Data Team Lead

    Senior Clinical Data Team Lead

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for a Senior Clinical Data Team Lead to manage clinical data projects remotely.Key Responsibilities Manage end-to-end delivery of data management services for clinical projec...Show more
    Last updated: 30+ days ago • Promoted
    Sales Lead - Behavioral Health

    Sales Lead - Behavioral Health

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for a Sales Lead - Behavioral Health Counseling Services.Key Responsibilities Own the go-to-market and sales strategy for behavioral health counseling offerings Build, quali...Show more
    Last updated: 7 hours ago • Promoted • New!
    CDI Team Lead

    CDI Team Lead

    Jobot • Altamonte Springs, FL, United States
    Full-time
    Job Description Job Description System Team Lead - CDI This Jobot Job is hosted by : Daylen Quichocho Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Sala...Show more
    Last updated: 30+ days ago • Promoted
    RN Med Surg Ortho

    RN Med Surg Ortho

    AdventHealth Waterman • Tavares, FL, US
    Full-time
    All the benefits and perks you need for you and your family : .Student Loan Repayment Program.Whole Person Wellbeing Resources. Joining AdventHealth is about being part of something bigger.Its about b...Show more
    Last updated: 30+ days ago • Promoted
    Healthcare Strategic Initiatives Lead

    Healthcare Strategic Initiatives Lead

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for a Global Industries and Solutions Strategic Initiatives Lead (HCLS).Key Responsibilities Drive end-to-end initiative success across the organization in Healthcare / Life Sc...Show more
    Last updated: 3 days ago • Promoted
    ED Advanced Multi Tech

    ED Advanced Multi Tech

    AdventHealth Central Florida • Kissimmee, FL, US
    Full-time
    All the benefits and perks you need for you and your family : .Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of e...Show more
    Last updated: 13 hours ago • Promoted • New!
    Healthcare Analytics Lead

    Healthcare Analytics Lead

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for an Analyst-Strategic Intelligence and Market Insights Lead.Key Responsibilities Lead strategic analytics projects related to facility planning, market expansion, and serv...Show more
    Last updated: 4 days ago • Promoted
    Travel Physical Therapist

    Travel Physical Therapist

    Synergy Medical Staffing • Altoona, FL, US
    Permanent
    Synergy Medical Staffing is seeking a travel Physical Therapist for a travel job in Altoona, Florida.Job Description & Requirements. Shift : 5x8 Days, 08 : 00 : 00-16 : 00 : 00, 8.When you join Synergy M...Show more
    Last updated: 30+ days ago • Promoted
    North Carolina Licensed Behavioral Health Consultant

    North Carolina Licensed Behavioral Health Consultant

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for a Behavioral Health Consultant I.Key Responsibilities Collaborates with healthcare providers and claims professionals to assess and review mental health disability claims...Show more
    Last updated: 2 days ago • Promoted
    North Carolina Licensed Behavioral Health Advocate

    North Carolina Licensed Behavioral Health Advocate

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for a Behavioral Health Care Advocate Utilization Management.Key Responsibilities Manage and administer behavioral health benefits for facility-based care Utilize clinical a...Show more
    Last updated: 30+ days ago • Promoted
    Retail Sales Associate

    Retail Sales Associate

    Verizon • Robinswood, KY, US
    Full-time +1
    A place to share your ideas freely — even if they’re daring or different.Where the true you can learn, grow, and thrive.At Verizon, we power and empower how people live, work and play b...Show more
    Last updated: 8 days ago • Promoted
    Family Practice

    Family Practice

    Enterprise Medical Recruiting • Port Orange, Florida, US
    Full-time
    Family Practice physician employment in Florida : .Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in the surrounding suburb of Port...Show more
    Last updated: 30+ days ago • Promoted
    Internal Medicine

    Internal Medicine

    Enterprise Medical Recruiting • Port Orange, Florida, US
    Full-time
    Internal Medicine physician employment in Florida : .Large HMO in sunny Daytona Beach, Florida is eager to talk to Internists regarding multiple needs in the surrounding suburb of Port Orange, FL.La...Show more
    Last updated: 30+ days ago • Promoted
    Florida Licensed Behavioral Health Director

    Florida Licensed Behavioral Health Director

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for a Senior Director, Behavioral Health Utilization Management.Key Responsibilities Leads and directs the behavioral health utilization management team to ensure appropriate...Show more
    Last updated: 4 days ago • Promoted
    Arizona Licensed Behavioral Health Advocate

    Arizona Licensed Behavioral Health Advocate

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for a Behavioral Health Care Advocate - Utilization Management.Key Responsibilities Manage and administer inpatient and residential behavioral health benefits Review clinica...Show more
    Last updated: 30+ days ago • Promoted
    Radiology

    Radiology

    GO Staffing • Mims, Florida, US
    Full-time
    Radiology physician employment in Florida : .Locums- A great group is looking for a Locum Radiologist - Tele for Day, Swing, or Overnight shifts near Mims, FL. Board Certified Diagnostic Radiologist....Show more
    Last updated: 12 days ago • Promoted
    Colorado Licensed Behavioral Health Coordinator

    Colorado Licensed Behavioral Health Coordinator

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for a Behavioral Health Utilization Management Clinical Coordinator.Key Responsibilities Process Behavioral Health and Substance Use Disorder authorizations within designated...Show more
    Last updated: 30+ days ago • Promoted
    Consulting Team Lead

    Consulting Team Lead

    VirtualVocations • Kissimmee, Florida, United States
    Full-time
    A company is looking for a Team Lead, Consulting.Key Responsibilities Create and execute the commercial plan for assigned book of business, managing team P&L Recruit, manage, and motivate a team...Show more
    Last updated: 1 day ago • Promoted