Team Lead, Operations Account Management

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

📋 Description

• Oversee daily operational performance, battle cards, action plans, and essential KPIs for designated clients, including A/R days, cash flow, denial patterns, and accuracy metrics.

• Serve as the main operational contact between clients or facility management 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.

• Guarantee precise reporting, clear status updates, and efficient communication of issues.

• Manage operational tasks for domestic-only clients as necessary.

• Analyze statistical reports and dashboards; create and implement corrective action plans.

• Spearhead tactical initiatives to enhance operational efficiency and optimize reimbursement through standardized processes, issue triage, and cross-departmental collaboration.

• Ensure timely responses to client inquiries and proactively address risks such as unbilled accounts, claim complications, and operational obstacles.

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

• Comprehend contract stipulations and ensure billing, invoicing, and service delivery adhere to negotiated terms.

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

• Uphold the confidentiality of patient and client data.

• Participate in mandatory meetings and stay updated on industry trends, legislative updates, and best practices.

• Ensure accuracy in customer invoicing and assist with monthly invoicing procedures.

• Recruit, screen, and select candidates; orient new employees; manage hiring strategies and staff resources.

• Implement performance management processes, provide constructive feedback, conduct annual evaluations, and address performance issues.

• Maintain up-to-date job descriptions and precise staff records.

• Support training and organizational development initiatives.

• Mentor, guide, and coach direct reports.

• Communicate corporate matters and enforce internal policies and procedures in accordance with corporate, HR, budgetary, and finance regulations.

• Adhere to employment laws and regulations.

⛳️ Requirements

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

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

• Proficient understanding of insurance regulations, reimbursement practices, procedure and diagnosis coding, and automated billing workflows.

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

• Strong client-facing communication abilities (both written and verbal) with the capacity to clearly articulate operational findings, timelines, and next steps.

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

• Proficient in Microsoft Office (Excel, Outlook, Word) and comfortable working across various systems and reporting outputs.

• Preferred: Over 5 years of Medicare hospital billing experience and/or demonstrated expertise with government payers (Medicare/Medicaid).

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

• Preferred: Advanced skills in revenue cycle analytics (e.g., analyzing denials/underpayments, operational KPI reporting, dashboard interpretation).

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

• Preferred: Familiarity with invoicing processes, contract compliance verification, and operational performance governance.

🏝️ Benefits

• Comprehensive health and wellness benefits.

• Opportunities for professional development and career growth.

• Supportive work environment fostering collaboration and innovation.

• Competitive compensation package including performance-based incentives.