Job Description :
The Revenue Cycle Management (RCM) Team Lead is responsible for overseeing the billing process to ensure timely and accurate submission of claims, efficient processing of payments, and adherence to industry regulations.
- Manage a team of billing specialists to optimize billing procedures and enhance overall revenue cycle efficiency.
- Collaborate with various departments to coordinate billing processes and identify areas for improvement.
Responsibilities :
Ensure accurate and timely processing of claims, adhering to payer guidelines and regulations.Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.Develop and implement billing policies and procedures to improve accuracy and efficiency.Work closely with coding, compliance, and other departments to ensure accurate coding and documentation.Analyze billing data and metrics to identify trends, issues, and opportunities for process improvements.Manage the appeals process for unpaid or denied claims.Oversee the use of billing software and electronic health record (EHR) systems, ensuring they are up-to-date and functioning properly.Stay informed about changes in U.S. revenue cycle management practices and federal regulations to ensure billing processes remain compliant and optimized.Provide guidance and training to the billing team on evolving industry standards and policy updates.Required Skills and Qualifications :
To be successful in this role, you will need :
A Bachelor's degree in business administration, healthcare administration, finance, or a related field.Proven experience with billing systems, payer guidelines, and regulatory compliance.Strong understanding of U.S. revenue cycle management, including billing workflows, reimbursement methodologies, and common challenges.Up-to-date knowledge of federal regulations, policy changes, and industry standards impacting medical billing practices.Familiarity with billing software and electronic health records (EHR) systems.Strong attention to detail, analytical skills, and ability to work independently.Excellent communication and collaboration skills.Benefits :
This role offers a competitive salary and benefits package, including :
Opportunities for professional growth and development.A collaborative and dynamic work environment.A comprehensive benefits package, including health insurance, retirement savings plan, and paid time off.