Team Lead, Enterprise RCM Operations

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

📋 Description

• Act as the main operational contact for designated enterprise client accounts concerning Accounts Receivable, Billing, Payment Posting, and revenue cycle processes.

• Cultivate and sustain in-depth knowledge of client workflows, payer behaviors, operational procedures, provider specifics, and account-related requirements.

• Collaborate with Client Success Managers, internal operational teams, and client stakeholders on matters of client health, escalations, performance initiatives, and workflow enhancements.

• Perform root cause analysis on denied and rejected claims, underpayments, payment discrepancies, and workflow inefficiencies.

• Detect systemic operational challenges and execute corrective measures along with sustainable process advancements.

• Track AR, denial patterns, aging performance, and payment irregularities.

• Act as the initial point of escalation for claim resolution, payer issues, and workflow obstacles.

• Delegate and prioritize weekly tasks while supervising daily performance across AR, Billing, Payment Posting, and associated functions.

• Utilize dashboards, reporting tools, clearinghouse data, and productivity metrics to ensure quality and monitor performance effectively.

• Guarantee the timely and accurate completion of end-of-month processes, reconciliations, and reporting deliverables.

• Facilitate onboarding and ongoing training; offer coaching, one-on-one meetings, team syncs, and development discussions.

• Generate, assess, and distribute monthly reports on AR performance, patient balances, refunds, denials, payment discrepancies, and operational KPIs.

• Investigate and suggest account adjustments, write-offs, workflow improvements, and operational enhancements.

• Assist with client audits, operational assessments, escalations, strategic initiatives, and additional projects assigned by leadership.

⛳️ Requirements

• At least 2 years of direct experience managing daily billing and collections team operations.

• Proven track record in reviewing, coding, and collecting professional services rendered.

• Established proficiency in healthcare revenue cycle management.

• Capability to drive organizational change and lead teams through change management processes.

• Strong leadership skills and a strategic outlook.

• Supervisory expertise in leadership, team development, coaching, mentoring, and situational evaluation.

• Proven ability to promote continuous improvement and create high-performing teams.

• Competence with Google for Business, Microsoft Excel, Microsoft Word, and other relevant software applications.

• Compliance with HIPAA regulations regarding the protection of patient health information is mandatory for all associates.

• Familiarity with clearinghouses and healthcare billing and collections SaaS products is highly advantageous.

• Applicants must reside in the United States and be legally authorized to work there.

🏝️ Benefits

• Competitive salaries

• Remote/hybrid working environment

• Potential equity compensation for exceptional performance

• Flexible paid time off (PTO)

• Company-sponsored lunches for all employees

• Company-paid disability and life insurance benefits

• Company-paid family and medical leave

• Medical, dental, and vision insurance benefits

• Discounted pet insurance

• Flexible Spending Account (FSA) / Dependent Care Account (DCA) and commuter benefits

• 401k plan

• Complimentary subscription to digital fitness classes and wellness content

• Recovery suite at HQ, featuring a cold plunge, sauna, and shower