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. The Team Lead oversees the PRN/PW positions, may manage the day-to-day tasks of government and commercial teams, and serves as the first point of escalation for complex or high-dollar accounts. They are expected to balance operational oversight with hands-on account resolution, maintaining the highest standards of quality, productivity, and compliance while driving both individual and team performance.

In Short

• Mentor assigned Account Resolution Specialists (ARS).
• Serve as the first point of escalation for difficult accounts.
• Assign daily work based on priority and complexity.
• Review and approve adjustments as necessary.
• Ensure timely follow-up on assigned accounts.
• Handle accounts requiring advanced payer knowledge.
• Submit claims in accordance with guidelines.
• Research and resolve claim errors.
• Minimize claim denials and ensure correct submissions.
• Stay current with payer updates.

Requirements

• High school diploma or equivalent required; Associate degree preferred.
• CRCR certification required within 90 days of hire.
• Minimum 3 years of experience in securing medical claim payments.
• Prior mentoring experience.
• Experience with EMR systems.
• Proficiency in Microsoft Office Suite.

Benefits

• Remote work flexibility.
• Opportunities for professional growth.
• Supportive team environment.
• Competitive salary.
• Comprehensive training and onboarding.