
Team Lead
2 weeks ago
Key Responsibilities:
- Revenue Cycle Oversight:
o Manage the entire revenue cycle process including charge entry, coding, billing, payment posting, denial management, and collections.
o Ensure timely and accurate processing of all claims and payments.
- Team Management:
o Supervise, train, and support medical billers, coders, AR specialists, and other RCM staff.
o Set performance targets, monitor productivity, and conduct performance evaluations.
- Billing and Compliance:
o Ensure compliance with healthcare billing regulations, payer-specific requirements, and HIPAA guidelines.
o Monitor billing accuracy and address discrepancies or trends in denials and rejections.
- Denial and AR Management:
o Develop and implement strategies to minimize claim denials and reduce accounts receivable days.
o Review denied claims, oversee appeals process, and ensure maximum reimbursement.
- Reporting and Analytics:
o Generate regular reports on revenue cycle metrics such as collections, aging, denial rates, and cash flow.
o Analyze trends and recommend improvements to enhance efficiency and profitability.
- Payer and Client Coordination:
o Communicate with insurance carriers and third-party payers to resolve complex issues.
o Serve as the primary contact for clients regarding revenue cycle performance, updates, and escalations.
- Process Improvement:
o Identify workflow inefficiencies and implement best practices to improve RCM operations.
o Leverage technology and automation tools to optimize billing processes.
- Policy Development:
o Develop and update RCM policies, procedures, and training materials.
o Ensure standard operating procedures are followed by all team members.
- Audit and Quality Control:
o Conduct internal audits to ensure data accuracy, compliance, and high-quality output.
o Address audit findings and ensure corrective actions are implemented promptly.
- Strategic Planning:
o Collaborate with leadership to align RCM strategies with business goals.
o Participate in budgeting, forecasting, and planning initiatives related to billing operations.
Employment Status:
You will be employed on a full-time basis, your initial employment will be probationary (3 months), subject to the terms and conditions outlined in our company's policies and procedures.
Working Hours:
Your standard working hours will be 6 PM to 3 AM PST, Monday through Friday
Other working hours will be scheduled with advance prior notice in a timely manner. (Flexibility based on special conditions).
Job Type: Full-time
Pay: Rs100, Rs120,000.00 per month
Work Location: In person
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