Team Lead, Operations Account Management

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

📋 Description

• Oversee the daily operational performance, including battle cards, action plans, and key KPIs for designated clients, focusing on A/R days, cash performance, denial trends, and accuracy metrics.

• Serve as the main operational liaison between clients and internal delivery teams.

• Convert client requirements, concerns, and requests into actionable operational priorities and execution strategies.

• Identify operational risks, assess performance trends, and assist in resolving issues to avert revenue loss and service interruptions.

• Ensure precise reporting, clear status communications, and effective issue management.

• Lead operational initiatives for domestic-only clients when necessary.

• Analyze statistical reports and dashboards to pinpoint operational trends, risks, and weaknesses; create and implement corrective action plans.

• Drive tactical initiatives aimed at enhancing operational efficiency and optimizing reimbursement via standardized workflows, issue triage, and cross-departmental collaboration.

• Respond to client queries promptly and proactively escalate risks such as unbilled accounts, claim challenges, and operational hurdles.

• Collaborate with operations, finance, payer relations, technology, and strategic client management/sales teams.

• Comprehend contract stipulations and ensure that billing, invoicing, and service delivery align with negotiated terms.

• Stay informed about hospital billing systems, government payer programs, third-party reimbursement policies, and relevant regulations.

• Safeguard the confidentiality of patient and client information.

• Participate in mandatory meetings and keep abreast of industry trends, legislative updates, and best practices.

• Ensure the accuracy of customer invoices and assist with monthly invoicing processes.

• Recruit, onboard, manage performance, provide feedback, conduct reviews, and mentor direct reports.

• Implement internal policies and procedures while complying with employment laws and regulations.

⛳️ Requirements

• Bachelor’s degree or an equivalent combination of education and relevant experience.

• Over 5 years of experience in hospital revenue cycle functions with significant exposure to billing, follow-up/collections, and claim resolution.

• Familiarity with insurance regulations, reimbursement practices, procedure and diagnosis coding, and automated billing workflows.

• Proven ability to resolve issues, including complex account investigations, root cause analysis, and corrective measures.

• Strong communication skills (both written and verbal) with the capability to clearly articulate operational findings, timelines, and next steps to clients.

• Exceptional critical thinking, organizational, and time-management skills with a keen attention to detail, precision, and follow-through.

• Proficient in Microsoft Office (Excel, Outlook, Word) and comfortable navigating multiple systems and reporting outputs.

• At least 2 years of Medicare hospital billing experience and/or demonstrated expertise with government payers (Medicare/Medicaid).

• Experience with hospital billing platforms and/or EHR/RCM systems (e.g., Thrive, Epic, Cerner, or similar tools).

• Advanced skills in revenue cycle analytics.

• Previous experience in client management, escalations, service recovery, and cross-functional coordination.

• Knowledge of invoicing processes, contract compliance validation, and operational performance governance.

🏝️ Benefits

• 3% annual bonus