Job Description:

Role Summary:

The Sr. Accounts Receivable is responsible for the timely and accurate processing of health insurance claims with various insurance companies.  This role will also work with Accounts Receivable representatives to help resolve issues while providing leadership and guidance.

Responsibilities:

• Leads a team of Accounts Receivable representatives and proactively assists in the management their performance and development.
• Manage day-to-day problem-solving while serving as an expert on medical claim matters.
• Responsible for assisting the A/R Manager with successfully maintaining a properly functioning revenue cycle for third party A/R.
• Assists in suggesting revisions to policies and procedures to assure that everyone within the department adheres to the high standards of regulatory compliance and excellent customer service.
• Assists in hiring qualified team members serving as a catalyst and mentor for motivating productivity, innovation, high employee morale and commitment to the organization.
• Research authorizations, work with providers, and manage pended claims in a timely manner. 
• Maintain a solid balance of health insurance claims that are < 35 average days outstanding.
• Identify non-payment trends or procedural roadblocks and report same to Supervisor as needed.
• Prepare special claim projects; maintains project work/communication logs, uses resources effectively, arrange information and files in a useful manner and meets project deadlines.
• Compose and prepare documentation for appeals.
• Process insurance carrier correspondence in a timely and professional manner.
• Keep current on carrier’s web sites for information that relates to the practice.
• Perform other office duties as assigned by manager. 
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.
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