Thahaseena A

Core Responsibilities of Attorney & Correspondence Team Leader

1. Team Management & Supervision

Lead a team handling attorney correspondence, patient legal documents, and RCM coordination.
Set performance targets and ensure the team meets quality, TAT (turnaround time), and productivity KPIs.

Conduct regular training, feedback sessions, and performance reviews.

Handle escalations related to legal documents or complex correspondence cases.2. Legal Documentation Oversight

Ensure accurate preparation and review of:Lien letters,Attorney authorizations,Settlement letters
,Demand letters,HIPAA-compliant record release forms
Monitor timelines for submission and responses from law offices. Correspondence & Communication

Manage incoming and outgoing communication with:
Law firms,Patients,Insurance carriers,Internal departments (coding, AR, client services)
Ensure professional, legally compliant communication Compliance & Confidentiality

Ensure all correspondence complies with HIPAA, state-specific laws, and company SOPs.

Train the team on compliance protocols regularly.
Handle audits and implement any corrective action plans Coordination & Reporting

Coordinate between billing, legal, and collection teams for smooth workflows.

Maintain and update trackers for:
Legal case statuses Settlements, Pending attorney responses.

Provide weekly/monthly reports to senior management

Process Improvement -Identify process gaps in attorney correspondence workflows.

Recommend and implement improvements for efficiency, accuracy, and turnaround.

About My Roles and Responsibilities in the "RCM Quality Audit"

Roles and Responsibility

· Audits in Eligibility Verification & Prior-Authorization

· Charge Entry /Charge Audit & Claim Submission

· Audit I EDI Claim Submission & Rejections

· Audit in Payment posting

· Audit in Denial Process

· Audit in Account Receivables and Call Recoding

Currently I am auditing in below specialty in KrystalRCM

1. Pain Management

2. Behavior Health/Mental health

3. Therapy SERVICES

4. Family Medicine

5. Attorney & PIP Insurance services (Personal injury protection/No Fault) HIPPA Guidelines

6. HIPPA Initiatives

 Roles and Responsibilities in the "EqualizRCM Quality Audit"

· The quality auditor will perform the audits and share the daily, weekly, and monthly quality reports with the respective team supervisor on the same day.

·  Process updates or process knowledge. It can also help to determine whether the agent is aware of the current update and should be aware of process-related documents like updates, rules books, and SOP.

· A quality auditor has the duty to help improve the overall team's knowledge by sharing updates multiple times if needed.

· Conducting training and PKT as scheduled every month will help the team on page perform the task accurately.

· Provide any possible assistance to the agent who is finding difficulties with process updates and knowledge gaps to improve his or her quality.

· As a quality auditor, the main goal is not to just provide the errors but also to ensure the improvement of the overall team by identifying knowledge gaps in the users, being approachable to every member of the team, and improving overall quality. This goal will create errors and streamline the process.

· The auditor should also make sure the performance of the team is on par, and they should understand that this may help the overall performance of the team.

Additional Tasks:-

· Effective communication with the end client via conference calls and emails Counseling the entire team for quality enhancement and driving individual productivity through expert knowledge sharing and continuous interactions

· Helping leads in preparing reports and supporting the supervisor by offering solutions to the problem and assisting them in making decisions. on all the responsible for supervising the team to work on assigned cases, keep a record of production and quality percentage Manage and handle escalations effectively raised by the clients, and help in resolving the same process-related.

· Reporting to management about any challenge, both in operations and in people Ensure to take appropriate action on escalations received from clients and end customers.

Responsible for monitoring and guiding newcomers in the team. Conducted training sessions for newcomers and helped them improve on quality and speed.

Other Certification

Advance MS Excel, Dashbord, Power point & Tally