Lead Accounts Receivable Technician

Position Title: Lead Accounts Receivable Technician

Division: Admin

Reports To: Business Office Manager

Job Summary:

The Lead Patient Accounts Receivable Technician is responsible for overseeing the Accounts Receivable team staff. This is to include tracking remits, nonpays, collection logs, refunds, overpayments, and posting accuracy. Will hold team meetings to address denial trends that need to be relayed to the Business Office Manager. 

The Lead Patient Accounts Receivable Technician strengthens GPTLHB’s mission by overseeing the Accounts Receivable team, ensuring accuracy in payment posting, tracking remittance advice, managing and reconciling collection logs, refunds, and overpayments, and maintaining thorough documentation. This position enhances the delivery of quality healthcare services and operational efficiency by ensuring the most accurate retrieval of payments.

Essential Functions:

The following functions are fundamental to the position and are required of all incumbents, with or without reasonable accommodation. These functions define the role and are not an exhaustive list of all duties.

• • Provides leadership and oversight of all daily activities related to the billing coordinators related to performance management.
  • Subject matter expert for all things accounts receivable
  • Holds weekly AR team meetings to address any denial trends, issues or questions.
  • Assists in creating best workflows for all AR job duties. 
  • Makes sure all posting is done within 3 business days based on the BSL report
  • Assigns all posting assignments at the beginning of the day
  • Works closely with the finance department to reconcile the collection log as well as bank accounts. 
  • Follows up on all missing payments for medical/dental/vision/pharmacy
  • Ensure quality control over processes spanning the functional areas that impact billing and revenue.
• • Maintains accounts by reviewing documents to verify accounting data as necessary, entering data into the system. 
  • Logs all payments from all bank accounts on the collection logs
  • Receives and downloads all remittance advice received reflecting the bank payments received
  • Post all medical and pharmacy payments in RPMS 
  • Post all dental payments in Dentrix
  • Post and assign denials in Inovalon
  • Handle all refunds and overpayments that come by mail/fax
  • Research and resolve errors and inaccuracies pertaining to claim posting 
  • Post payments or adjust claims to close out. 
  • Communicates denial trends to Business Office Manager and staff to ensure follow-up on claims. 
  • Maintains assignment of denied claims for further review to each billing coordinator. 
  • Provides information and assistance pertaining to insurance payments
  • Work aging claims and remit denials 
  • Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA) and the Privacy Act of 1974. 
  Performs any other related business office duties requested by the Business Office Manager and/or Senior Director of Patient Accounts. 

Education/Experience

• High school diploma or GED and one (1) year of relevant experience.
• Accounts Receivable experience including recording and posting payments to accounts.
• Two (2) years of accounting experience to understand and perform the major duties of the position, and to be able to answer questions and resolve problems.

The GPTCHB is a tribal organization that follows tribal preference laws. Our policy is to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions if all other qualifications are equal. 

Employment is contingent upon the outcome of all required criminal background checks.

Compliance with our Employee Health Procedure is a condition of employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs require that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles; Mumps and Rubella), Varicella (Chicken Pox), Hepatitis B, Influenza, T-dap (tetanus - Diphtheria - Pertussis), and COVID-19 vaccination is required.

This position requires the ability to perform the essential functions of the job, with or without reasonable accommodation. Physical demands and work environment may include:

• Primarily sedentary work is performed in an office or administrative setting.
• Requires the ability to sit for extended period and regularly use standard office equipment such as a computer, keyboard, telephone, and copier.
• Occasional standing, walking, bending, and reaching may be required.
• Ability to lift and carry office materials or supplies up to 25 pounds occasionally.
• Requires manual dexterity and visual acuity for computer use and document review.
• Must be able to read, write, speak, and hear.
• Work is performed primarily in an indoor office or administrative environment.

The environment involves everyday risks or discomforts that requires normal safety precautions typical of office settings, including proper use of office equipment and awareness of trips, falls, and fire regulations.