Overview
Key Responsibilities:
– Supervise and lead a team of RCM specialists (billing, AR follow-up, payment posting, or coding).
– Monitor daily productivity, quality, and turnaround time (TAT).
– Conduct regular performance reviews and coaching sessions.
– Manage work allocation, leave planning, and shift scheduling.
– Ensure compliance with client guidelines, HIPAA, and other regulatory- requirements.
– Provide training and onboarding support to new team members.
– Collaborate with cross-functional teams (QA, Training, IT, Client Services).
– Generate and analyze performance reports; recommend process improvements.
– Act as a point of escalation for client or internal concerns.
– Ensure timely and accurate resolution of denied or pending claims.
– Keep updated with payer regulations and billing/coding changes.
Requirements:
– 4+ years of experience in RCM, with at least 1+ years in a leadership/supervisory- role.
– Knowledge of RCM processes (Charge Entry, Payment Posting, AR Follow-up, Denials Management, or Medical Coding).
– Familiarity with US healthcare insurance policies and payer guidelines.
– Strong analytical, communication, and team management skills.
– Proficiency in MS Excel, billing software (e. , Epic, Kareo, AdvancedMD,- eClinicalWorks), and EMR/EHR systems.
– Ability to work in a fast-paced, deadline-driven environment