RCM - Team Lead

Position: RCM Team Lead

Reports To: RCM Supervisor/Manager

Classification: Exempt/Full-Time

Location: Remote

JOB DESCRIPTION:

The Revenue Cycle Management Claims Team Lead will be responsible for all aspects of the claim cycle. This is a dual position with its own workload along with oversight to train, audit and monitor the group for accurate procedures and turnaround. Ensure workflow, including collecting payments stays current and on track with regards to insurance carriers, patients, vendors, and internal interactions.

PRIMARY RESPONSIBILITIES:

• Identify, analyze, and manage all issues pertaining to accounts receivable.

• Coordinate, assign, audit and supervise the work of the staff assigned to ensure productivity standards and goals are consistently met.

• Review and analyze past due receivables on a weekly basis.

• Monitor AR reconciliations, and related adjustments to ensure accuracy and timely processing.

• Establish and maintain productive relationships with key resources, including Managers.

• Active participation in weekly AR calls; coordinate activities and share responsibility for projects with other key AR staff.

• Establish and maintain the necessary billing and receivables updates/ tracking systems to maximize collections and cash flow.

• Work with Managers to determine the level of automation possible and the necessary personnel to achieve collection goals.

• Oversee monthly A/R reporting requirements.

• Coach and Supervise staff including performance management, mentoring, 1-on-1 s, training needs identification and development, work- flow planning and escalate disciplinary actions to Supervisor/Manager.

• Work the aging accounts and collect pending receivable payments from insurance companies.

• Prioritize and effectively communicate.

• Work with the team to achieve and maintain key AR benchmarks.

• Meet Teams Productivity and Quality Goals.

QUALIFICATIONS:

• Strong decision making, problem solving, and solution finding.

• Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.

• Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy.

• Must have excellent analytical and problem-solving skills.

• Ability to work easily and cooperatively with other departments.

• Ability to work independently and follow through on tasks without direct supervision.

• Ability to work well under pressure in a flexible and expeditious manner.

• Must have experience with Microsoft Products and PMS systems, EMR systems, and clearing houses.

EXPERIENCE / EDUCATIONAL REQUIREMENTS:

Education:

Graduate of four-year high school or equivalent (GED).

Experience:

• One to Two years of leading AR teams, over-all at-least 5 Years of Experience in RCM.

• Previous experience in Optical/Vision is highly preferred!

• Skills and Knowledge of EMR software functionality and operations.

• Proficiency in Microsoft Office Applications.