Job Functions, Duties, Responsibilities and Position Qualifications:

Position Summary:

The Medicaid Follow-Up Specialist Team Lead is responsible for the supervision of subordinate staff that carry out the management of Medicaid accounts through written or verbal direction from patients, aged trial balance reports and Medicaid rejection reports for the accurate and timely filing of claims for maximum reimbursement. Team Leads provide support to department supervisor and other Accounts Receivable departments, as needed. Team Leads assure adherence to all department policies and procedures.

Job Responsibilities:

Essential Functions:

• Facilitate training and supervision of A/R Follow-Up Medicaid staff.
• Distribution of workload to subordinates.
• Auditing for quality control.
• Reporting weekly, monthly, and quarterly department statistics in regards to bonuses as warranted.
• Maintaining employee documentation; assist Supervisor with evaluations/corrective actions as needed.
• Review refund requests.
• Ordering and distributing team supplies.
• Monitoring staff development on proficiency in processing the minimum stat requirement (determined by A/R Policy) within the 90-day probationary period of employment.
• Interact effectively with other Team Leaders, Supervisors, and the Accounts Receivable Director to resolve complex issues and provide cross shift/cross function/cross organizational support.
• Adhering to established A/R billing policies, practices, and procedures.
• Performing other duties as assigned.

Skills:

• Team Lead for Accounts Receivable team with minimal direction
• Perform duties in a timely and accurate manner
• Maintain confidentiality of information
• Effective written, verbal and electronic communication skills
• Possess effective work habits and ability to build/maintain work relationships
• Knowledge of computer technology and terminology
• Type and demonstrate10 key proficiency
• Read and comprehend English
• Work under deadlines

Job Qualifications:

Required:

• High School diploma or GED
• Typing (min 35 wpm) and 10 Key

Preferred

• 3 years’ experience in standard Medicaid or related HMO plans
• Experience with medical coding, private insurance, laboratory and/or medical billing
• Prior leadership experience
• Customer service experience
• Bilingual speaking skills/Spanish
• Experience in multitasking environment

License Certification:

• N/A

Scheduled Weekly Hours:

40

Work Shift:

1st Shift (United States of America)

Job Category:

Accounts Receivable

Company:

Sonic Healthcare USA, Inc

Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.