Team Lead RCM

Job description:

Job Overview:

The RCM Team Lead is an expert in medical billing with comprehensive knowledge across all key domains of the revenue cycle, including Billing, Payments, Accounts Receivable, and Credentialing. As a Team Lead, you are expected to have a strong command of the complete RCM process, with in-depth expertise in both Part A and Part B billing.

In this role, you will be responsible for managing the full revenue cycle operations of assigned practices. You will work closely with the Manager to ensure practice-specific targets are met, while also supporting team members, resolving escalations, and ensuring adherence to best practices and compliance standards.

Responsibilities:

· Must have strong command over the complete Revenue Cycle Management process, In-depth knowledge of Part A and Part B billing.

· End-to-end responsibility for the assigned practice(s), ensuring all RCM-related activities meet company standards (e.g., MAGMA standards).

· Complete understanding of the assigned practice workflows and specialties.

· Ensure all patient information is accurately and completely entered into the Electronic Practice Management (EPM) system.

· Review patient admitting records and extract relevant billing information.

· Complete the billing cycle as per standard operating procedures and training guidelines.

· Work through EHR, LIS and web portals

· Demonstrate complete understanding of AltuMed (Medical Billing Software) and other EPM systems.

· Leverage available software tools to manage claims, payments, and reporting effectively.

· Respond to emails promptly and professionally.

· Maintain clear and professional communication with the team and management.

· Collaborate with your team to support daily, weekly, and monthly tasks.

· Independently manage assigned responsibilities without the need for supervision.

· Complete daily, weekly, and monthly tasks as assigned by the Manager.

· Assist the team in achieving operational targets and support them with task execution when required.

· Understand and strictly adhere to HIPAA compliance standards.

· Follow all internal company policies, procedures, and quality standards.

· Complete all required training tracks within the designated timeframe.

· Attend and successfully pass all internal training sessions.

· Be available for weekend shifts or overtime as needed based on workload or business requirements.

· Perform any additional duties or responsibilities as assigned by the Manager.

Qualifications:

• Bachelor's or Master's Degree in science preferably D- Pharm, Physiology Biochemistry, BBA, MBA. Etc.
• Candidates with over 5 years in the medical billing Industry.

· Excellent domain knowledge of the US- Healthcare Industry.

· Ability to read, analyze and interpret complex documents.

· Extensive knowledge of the use of email, search engine, Internet; ability to effectively use payer websites.

· Proficient with Microsoft products (Excel, Word, Outlook).

· Comfortable working in a target-oriented atmosphere.

· Ability to work under pressure and complete the project by meeting the deadlines.

· Excellent interpersonal communication skills and should be a good team player.

· Must be detail-oriented, highly organized, and results-driven.

· Critical Thinking and a can-do attitude.

· Excellent Typing and work process speed.

KEY PERFORMANCE INDICATORS:

· No. of Patients and Claims Submitted.

· Resolving Rejection and Denial Management.

· Timing, attendance, and punctuality.

· Learning ability on Billing Software.

· Daily productivity reports with no Errors and completed tasks.

· Coordination and cooperation within the team.

Benefits:

Market-Leading Salary, Medical insurance, Provident fund, EOBI, Paid Leaves, cash advance, Employee Performance based bonuses, Annual increments, Allowances ( Accommodation, OPD, Travel, Night, utilities, Technical ), Parental Leaves, Annual dinners & trips

Note: Preference will be given to candidates from Hazara Division, KPK for this specific role. However, candidates from all over the Pakistan are welcomed.

Job Type: Full-time

Work Location: In person