Team Coordinator

Job Description

We are seeking an experienced AR Team Co-Ordinator’s with strong expertise in Hospital Billing and Physician Billing. The candidate will act as a process expert in AR workflows, denial management, payment validation, and payer guidelines.

Key Responsibilities:

·Provide floor support while managing a team of 10 members.

·Conduct on-the-job training for both new hires and experienced employees, ensuring timely responses to client emails within a 24-hour TAT, and generate internal and external reports while monitoring hourly production.

·Participate in client calls, engage in client interactions, and prepare call data within the specified turnaround time.

·Need to do 50% of production based on business needs, focusing on either calling or auditing, and analyze weekly trends in client calls.

·Conduct weekly assessments to identify potential obstacles within the team. Analyze and resolve complex denials, claim rejections, and underpayments across Hospital and Physician Billing accounts.

·Serve as a Team Co-Ordinator for AR processes, payer policies, billing systems, and Hospital billing reimbursement methodologies.

·Conduct root cause analysis for recurring denials and payment variances and recommend corrective actions. Ensure compliance with TAT, productivity, quality, and client-specific requirements.

·Handle escalated account issues and client inquiries, providing resolutions in a timely manner, coach and support team members through feedback, knowledge sharing, and process guidance.

·Assist with onboarding and training of new employees and support continuous learning initiatives.

·Collaborate with QA, Training, Operations, and other internal teams to resolve operational challenges.

·Prepare and review daily, weekly, and monthly performance reports and productivity dashboards, manage high-value and aged AR inventories to maximize collections and minimize revenue leakage.

Job Requirements

Experience

·Minimum 3 years of experience in Hospital Billing/ Physician Billing and 1+ years of experience in SHAI.

Technical Knowledge

·Strong understanding of Inpatient (IP) and Outpatient (OP) Billing workflows.

·Extensive experience in Denial Management, Appeals Processing, and Underpayment Analysis.

·In-depth knowledge of Hospital Billing and Physician Billing AR processes.

·Proficient in reviewing and analyzing EOBs and ERAs

·Strong understanding of payer guidelines for Medicare, Medicaid, and Commercial Insurance plans.

·Expertise in Hospital Billing payment methodologies and reimbursement systems, including:

·Experience with payment system analysis and contract sheet validation.