Medical Biller

Team Lead, Account Follow-Up Services The Account Follow-Up Services Team Leader is responsible for strategic oversight of Hospital Insurance Follow-Up Services, including multi-team performance, payer strategy, denial prevention initiatives, workforce planning, and operational scaling. This role drives measurable improvement in A/R aging, collections performance, and denial overturn rates through KPI leadership, cross-functional collaboration, training programs, and continuous process innovation. Key Responsibilities Operational & Performance Leadership Own performance across one or more Insurance Follow-Up teams (or multiple clients). Set daily/weekly/monthly targets for productivity, quality, and collections, ensuring adherence to service-level expectations. Lead KPI governance (Days in A/R, A/R > 90, denial rate, overturn rate, net collection rate, first-pass resolution, productivity per FTE, quality). Build and present performance reviews and executive-ready reporting; drive corrective action plans. Denials Strategy & Payer Optimization Lead payer trend analysis and root-cause programs to reduce preventable denials (eligibility, auth, coding/modifiers, timely filing, medical necessity, COB). Standardize best practices for appeals, reconsiderations, and payer escalations. Partner with leadership on payer playbooks and escalation pathways; ensure consistent documentation standards. Training, Enablement & Quality Control Design and maintain scalable training programs, SOPs, and payer-specific job aids. Establish QA frameworks and audit cadence; monitor error trends and implement remediation plans. Develop team leads and high-potential staff through structured coaching and succession planning. Innovation & Process Improvement Drive workflow optimization through queue design, inventory management, and prioritization strategies. Recommend technology improvements (automation, templates, dashboards, portal utilization) to increase output and reduce rework. Lead change management and adoption for new tools, payer policy updates, and client requirements. Cross-Functional & Client Partnership Collaborate with coding, payment posting, charge entry, eligibility, and client stakeholders to resolve systemic issues impacting AR. Participate in client performance calls and support recovery plans for at-risk KPIs. What we are looking for: 3-5+ years of RCM experience with deep Insurance Follow-Up/Denials expertise. 2–4+ years leading teams (supervisor/team lead/manager level). Demonstrated success improving KPI outcomes (A/R aging reduction, denial reductions, increased overturn rate, improved collections). Strong analytics/reporting capability (Excel required; dashboard/reporting tools preferred). Advanced knowledge of payer behavior, denial categories, escalation processes, and appeals best practices. Ability to travel when required to client site. Salary range: The hiring range for this role is $60,000 to $70,000 USD per year. Final compensation will be based on experience, skills, market conditions, and internal equity. #J-18808-Ljbffr