Tandym Group is seeking an A/R Collections Team Lead for a 100% remote contract role. The ideal candidate will oversee collections, A/R follow-up, denial management, initial claims submission, and claim edits for both Hospital Billing (HB) and Professional Billing (PB). The role also includes managing a team of collectors, handling work queues, and ensuring efficient lifecycle billing processes.
Responsibilities:
- Lead and manage an A/R collections team, ensuring timely follow-up, appeals, and denial resolution.
- Oversee initial claims submission, claim edits, and lifecycle billing for HB and PB accounts.
- Manage no-response follow-up work queues and aged accounts.
- Monitor team performance and drive metrics to clear 40-60 accounts per day.
- Ensure compliance with payer contracts and state-specific billing requirements (NY).
- Use Epic Resolute HB to manage claims and collections processes effectively.
Must Have Experience:
- 5+ years in A/R collections, denial management, and appeals.
- 2+ years leading a collections team.
- Experience in Hospital Billing (HB) and Professional Billing (PB).
- Proficient in Epic Resolute HB and managing lifecycle billing processes.
- Experience managing work queues, including no-response follow-ups.
- Strong communication and customer service skills.
- Metrics-driven approach with a focus on clearing high volumes of accounts.
