Team Lead, Medical Billing
4 days ago
Work Location: Office-based working.Work Timings: US Day shift (Indian Night shift). Flexible depending upon client requirements.Qualifications and Skillsets Required:a. Any graduation with overall 5 to 7 years of prior experience in Charge entry, Payment posting, prior authorization, Denial Management, and AR follow-up. b. Minimum Team Lead experience 3 to 5 years of experience. c. A mandatory typing speed of 50 words per minute. d. Prior experience in team handling and management. e. Prior experience in auditing and training process. f. Excellent verbal and written English communication skills. g. Prior experience in dealing with US clients. h. Competency in necessary computer skills, including Microsoft Word, PowerPoint, Internet, and Excel.i. Capability to work independently and in collaboration with others to complete work and meet deadlines.j. Flexible to work in any shiftsKey Responsibilities:Team Management & Leadership- a. Supervise, mentor, and support a team of RCM specialists (billing, collections, AR, payment posting, etc.)b. Monitor team performance against targets and provide regular feedback and coaching. c. Conduct regular team meetings and one-on-one check-ins to align priorities and expectations.Revenue Cycle Oversight- a. Ensure accurate and timely submission of medical claims to insurance companies. b. Oversee denial management processes, including analysis, appeal filing, and resolution. c. Monitor Accounts Receivable (AR) aging reports and prioritize collections activities. d. Ensure accurate payment posting, patient invoicing, and reconciliation.Quality Control & Compliance- a. Auditing the accounts for all scope of work. b. Implement and monitor QA processes to ensure accuracy of billing and coding. c. Ensure team adherence to HIPAA and other regulatory requirements. d. Identify and escalate compliance or payer policy issues as needed.Reporting & Analysis- a. Generate and analyze RCM performance reports (collections, DSO, clean claim rate, etc)b. Track and report key metrics and trends to leadership. c. Recommend process improvements based on data and operational feedback.Training & Process Improvement- a. Develop training plans and onboarding materials for new team members. b. Provide ongoing education on payer updates, billing guidelines, and software tools. c. Identify workflow inefficiencies and implement standard operating procedures (SOPs).Collaboration & Communication- a. Act as point of contact between the team and internal/external stakeholders (clients, payers, other departments).b. Collaborate with coding, provider relations, and IT teams to resolve cross-functional issues. c. Manage escalated issues from clients or team members with professionalism and urgency.Reporting hierarchy: Senior Manager, Medical Billing.Career Path: Team leader => Senior Team leader =>Assistant Manager=> Manager.Compensation Offered: 60,000 CTC per month, with an additional 7,000 per month as a night shift allowance, applicable only when working night shifts.Additional Perks:a. A Medical insurance coverage for self, spouse, and a maximum of 2 children under age 25. b. Accident insurance worth 5 x annual CTC of the employee. c. Complimentary canteen facilities. 11. How to apply: Apply through our website NOTES: Please visit the following website to know more about us If you still have any questions, please write to
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