Account Resolution Team Lead - Remote

Overview

The Account Resolution Team Lead is responsible for guiding and mentoring Account Resolution Specialists while assisting with working a portfolio of the team's accounts. This role ensures accurate and timely claim submission and payment by reviewing and correcting claim edits, errors, and denials.

In Short

• Mentor assigned Account Resolution Specialists (ARS).
• Serve as the first point of escalation for difficult or unresolved accounts.
• Assist in assigning daily work to team members.
• Review, approve, and post adjustments as necessary.
• Ensure timely follow-up on assigned accounts.
• Handle accounts requiring advanced payer knowledge.
• Submit claims in accordance with guidelines.
• Research, analyze, and resolve claim errors.
• Minimize claim denials due to controllable errors.
• Communicate payer-specific issues to the team.

Requirements

• High school diploma or equivalent required; Associate degree preferred.
• CRCR certification or completion required within 90 days.
• Minimum 3 years of experience in securing medical claim payments.
• Prior mentoring experience.
• Experience using EMR systems like Meditech, Epic, or similar.
• Proficiency in Microsoft Office Suite and Teams.

Benefits

• Comprehensive training and onboarding.
• Opportunities for professional development.
• Flexible work environment.
• Competitive salary.
• Supportive team culture.