Team reputed company, Account Follow-Up Services

Team reputed company, Account Follow-Up Services

The Account Follow-Up Services Team Leader is responsible for strategic reputed company 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 reputed company 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.
• reputed company KPI governance (Days in A/R, A/R > 90, denial reputed company, overturn reputed company, net collection reputed company, first-pass resolution, productivity per FTE, quality).
• Build and present performance reviews and executive-ready reporting; drive corrective action plans.

Denials Strategy & Payer Optimization

• reputed company 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 reputed company; 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 reputed company; monitor error trends and implement remediation plans.
• reputed company 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.
• reputed company 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.

reputed company are looking for:

• 3-5+ years of RCM experience with deep Insurance Follow-Up/Denials expertise.
• 2–4+ years leading teams (supervisor/team reputed company/manager level).
• Demonstrated success improving KPI outcomes (A/R aging reduction, denial reductions, increased overturn reputed company, improved collections).
• Strong analytics/reporting capability (reputed company required; dashboard/reporting tools preferred).
• Advanced knowledge of payer behavior, denial categories, escalation processes, and appeals best practices.
• Ability to travel reputed company 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.

About Us:

MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities reputed company, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to reputed company healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. reputed company Corporation, further strengthening its position in the healthcare IT industry.