Remote Payer Strategy Jobs in Illinois (NOW HIRING)

MEDHOST, a division of Harris; is seeking an Account Follow-Up Services Team Leader who will provide strategic oversight 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, continuous process innovation and adjust priorities on the fly.

This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who can work in CST timezone.

Salary:

60K - 70K

AI & Innovation Mindset

We are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency. Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.

What your impact will be:

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.
• Lead KPI governance (Days in A/R, A/R > 90, denial rate, overturn rate, net collection rate, first-pass resolution, productivity per FTE, quality).
• Build and present performance reviews and executive-ready reporting; drive corrective action plans.

Denials Strategy & Payer Optimization

• Lead 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 pathways; 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 cadence; monitor error trends and implement remediation plans.
• Develop 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.
• Lead 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.

What we are looking for:

• 3-5+ years of RCM experience with deep Insurance Follow-Up/Denials expertise.
• 2-4+ years leading teams (supervisor/team lead/manager level).
• Demonstrated success improving KPI outcomes (A/R aging reduction, denial reductions, increased overturn rate, improved collections).
• Strong analytics/reporting capability (Excel required; dashboard/reporting tools preferred).
• Advanced knowledge of payer behavior, denial categories, escalation processes, and appeals best practices.
• Ability to travel when required to client site.
• High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.
• Smart phone for Multi Factor Authentication (MFA) application.
• Excellent communication skills (verbal & written), good judgement, tact, initiative, and resourcefulness.
• Must be detail oriented, organized, and ability to multi-task.
• Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
• Must be flexible with a "can do" attitude and have the ability to remain professional under high pressure situations.

What we can offer:

• 3 weeks' vacation and 5 personal days
• Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment
• Employee stock ownership and RRSP/401k matching programs
• Lifestyle rewards
• Remote work and more!

About MEDHOST:

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

About Harris:

Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment - both in the people and products that we offer and making investments in acquiring new businesses.

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