Rep 3, Customer Care
1823 Southeast Airport Road Stuart, FL 34996 US
Job Description
Job Title: AR & Denial Management Lead
Location: Remote
Schedule: Monday–Friday, 8:30 AM – 5:00 PM EST
Pay Rate: $25/hr
Position Purpose
The AR & Denial Management Lead provides operational support and guidance for Accounts Receivable (AR) and Denial Management functions. This role focuses on supporting collection workflows, ensuring accuracy, resolving denials, managing appeals, and assisting the team with processes that drive revenue cycle success.
Primary Duties and Responsibilities
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Monitor workload distribution and support timely task completion to maintain production standards.
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Assist with insurance and patient collections, denial resolution, and appeals; serve as a resource for questions related to AR processes.
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Resolve internal inquiries related to active and aged accounts with professionalism and problem-solving skills.
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Support onboarding and training by providing side-by-side coaching, reviewing work for accuracy, and escalating issues to the AR Billing Trainer or supervisor.
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Collaborate with leadership to identify skill gaps and performance challenges, leveraging metrics to enhance team training.
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Contribute to meeting or exceeding goals for collection accuracy, denial resolution, and productivity.
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Promote a culture of teamwork, professional excellence, and integrity.
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Maintain expertise in medical supplies, coding, LCDs, payer guidelines, and denial management strategies.
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Support system implementations, process changes, and workflow adjustments by providing guidance and training.
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Perform additional tasks as assigned to support AR operations and denial management.
Reporting Responsibilities
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Provides work direction to team members but does not have hiring or disciplinary authority.
Minimum Qualifications
Education/Experience:
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High School Diploma or GED required.
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3–5 years of AR or Denial Management experience in Durable Medical Equipment (DME).
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1–2 years of prior leadership or team support experience.
Skills:
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Strong written and verbal communication skills.
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Intermediate math skills for calculating discounts, interest, and proportions.
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Problem-solving and analytical reasoning for workflow management and dispute resolution.
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Proficiency in Microsoft Office, database software (Access or equivalent), Brightree, and Salesforce.
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Familiarity with call center telecommunications software.
Licenses/Certifications:
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None required.
Physical Demands
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Primarily sedentary; requires frequent sitting, talking, and handling objects.
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Occasionally required to stand and lift/move up to 10 lbs.