Insurance Accounts Receivable Specialist Lead
GENERAL SUMMARY
The Insurance Accounts Receivable Specialist Lead is responsible for overseeing daily operations, guiding team members, and ensuring efficient workflows and progress toward team goals. This role fosters a positive and collaborative team environment, monitors performance, and serves as a key liaison between team members and functional leadership. The Lead also acts as the first line of support for team questions and issue resolution, while continuing to manage their own A/R follow-up workload. Approximately 50% of their responsibilities involve handling complex claims, including high-dollar drug claims and other priority tasks.
RequirementsESSENTIAL JOB FUNCTION/COMPETENCIES
The responsibilities and duties described in this job description are intended to provide a general overview of the position. Duties may vary depending on the specific needs of the affiliate or location you are working at and/or state requirements. Responsibilities include but are not limited to:
- Support and guide a team of employees to meet departmental goals by monitoring individual and team productivity, quality, and turnaround times, while providing ongoing training, motivation, and performance feedback.
- Report key metrics and updates from payors to management.
- Identify opportunities for process improvements and suggest actionable solutions.
- Assist with the implementation of new tools or process changes as directed.
- Participate in daily huddles and operational meetings as needed.
- Provide updates to the Manager on team performance, barriers, and training needs.
- Document and report any recurring issues or payer trends affecting performance.
- Performs other position related duties as assigned.
- Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.
CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS
- N/A
KNOWLEDGE | SKILLS | ABILITIES
- Excellent communication and interpersonal abilities.
- Ability to coach and motivate team members.
- Strong leadership, organizational, and decision-making skills.
- Proficiency in electronic health record systems, payer portals, and Microsoft Office.
- Ability to work under pressure and meet tight deadlines.
- Excellent verbal and written communication skills.
- Knowledge of Payer Requirements, Denials, Payor Trends .
EDUCATION REQUIREMENTS
- High School diploma or equivalent required.
EXPERIENCE REQUIREMENTS
- 2+ years of experience in healthcare revenue cycle operations, with a focus on prior A/R follow up.
- 1+ year in a lead or supervisory role preferred.
REQUIRED TRAVEL
- N/A
PHYSICAL DEMANDS
Carrying Weight Frequency
1-25 lbs. Frequent from 34% to 66%
26-50 lbs. Occasionally from 2% to 33%
Pushing/Pulling Frequency
1-25 lbs. Seldom, up to 2%
100 + lbs. Seldom, up to 2%
Lifting - Height, Weight Frequency
Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%
Floor to Chest, 26-50 lbs. Seldom: up to 2%
Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%
Floor to Waist, 26-50 lbs. Seldom: up to 2%
High school diploma or equivalent; 2+ years healthcare revenue cycle experience with A/R follow-up; 1+ year lead or supervisory experience preferred; proficiency in EHR systems, payer portals, and Microsoft Office.
Key Responsibilities
- overseeing daily operations
- guiding team members
- managing A/R follow-up
Skills & Tools
Electronic Health Record (EHR), Microsoft Office
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — United States
- Languages: English
About Solaris Health Holdings
A healthcare organization managing insurance accounts receivable and revenue cycle operations. — Industry: Healthcare