Team Lead, Operations Account Management

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

📋 Description

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

• Act as the main operations point of contact between clients or facility management and internal delivery teams.

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

• Identify operational risks, analyze trends, and assist in issue resolution to avert revenue loss and service interruptions.

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

• Manage operational tasks for domestic clients as necessary.

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

• Spearhead tactical initiatives to enhance operational efficiency and optimize reimbursement processes.

• Respond to client inquiries swiftly and escalate risks such as unbilled accounts, claim discrepancies, and operational hurdles.

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

• Ensure that billing, invoicing, and service delivery align with the terms of negotiated contracts.

• Maintain expertise in hospital billing systems, government payer programs, reimbursement policies, and relevant regulations.

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

• Recruit, onboard, manage, assess, coach, and develop team members.

• Implement internal policies and procedures while ensuring the accuracy of staff data.

• Support organizational training and development initiatives.

⛳️ Requirements

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

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

• Familiarity with insurance regulations, reimbursement practices, procedure and diagnosis coding, as well as automated billing processes.

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

• Strong client-facing communication skills, both written and verbal.

• Exceptional critical thinking, organizational, and time-management abilities, with a keen eye for detail, accuracy, and follow-through.

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

• Preferred: At least 2 years of Medicare hospital billing experience and/or expertise with government payers.

• Preferred: Experience with hospital billing platforms and/or EHR/RCM systems like Thrive, Epic, or Cerner.

• Preferred: Advanced skills in revenue cycle analytics.

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

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

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with employer contributions.

• Generous paid time off and flexible working arrangements.

• Opportunities for professional development and continued education.