Billing Team Leader

This is a fully remote position, open to applicants in Texas.

📋 Description

• Provides daily guidance, mentorship, and support to the RCM department.

• Aids the team in addressing complex claim issues and member escalations, identifies trends, and ensures prompt and effective resolutions.

• Suggests and organizes training opportunities to enhance the skills and knowledge of RCM members.

• Recognizes opportunities for process improvements and engages in operational initiatives.

• Works collaboratively with both internal and external stakeholders to address complex issues and enhance overall credit/refund performance.

• Establishes effective communication channels to ensure departmental alignment.

• Actively manages and monitors the escalation queue to guarantee timely task resolution.

• Analyzes trends in escalations and provides real-time and scheduled feedback to team members.

• Delivers focused training and coaching to improve team members’ understanding of escalation scenarios and best practices.

• Acts as the primary contact for complex or sensitive escalation cases.

• Generates and processes the weekly refund check utility file in compliance with established timelines and quality standards.

• Assists with all refund-related reports and projects as necessary.

• Supports the onboarding and mentoring of new team members, reinforcing departmental policies and procedures.

• Provides additional coverage and assistance to the supervisor or manager when required.

• Performs any other duties or projects as assigned.

⛳️ Requirements

• Bachelor's degree in a related field is preferred.

• Over 2 years of experience in a lead or supervisory capacity with a proven history of team development and mentorship.

• More than 3 years of experience in revenue cycle management, particularly in collections and/or denial management.

• Strong grasp of healthcare billing principles, insurance claims processing, and reimbursement methodologies.

• Analytical mindset with the capability to interpret data and derive meaningful insights.

• Strong problem-solving and decision-making skills.

• Outstanding communication and interpersonal abilities.

🏝️ Benefits

• Eligible for a quarterly bonus