Team Leader

6 days ago

Ahmedabad, Gujarat, India AccQdata Full time ₹ 5,00,000 - ₹ 15,00,000 per year

Role & responsibilities

Team Management & Delivery

  • Lead a team of 812 DME billing associates; manage rostering, shift discipline, and daily huddles.
  • Allocate work, monitor queues, track SLAs/KPIs, and drive productivity and quality improvements.
  • Conduct coaching, floor support, and monthly performance reviews; manage skill-building and cross-training.

Operational Excellence (DME Billing)

  • Oversee eligibility/benefits checks, prior auths, charge entry, claim submission, payment posting (ERA/EOB), AR follow-up, and denials/appeals.
  • Ensure adherence to payer-specific rules for DMEPOS: HCPCS Level II, ICD-10-CM, modifiers (e.g., KX, GA, GZ, RR, NU), capped rentals vs. purchase, same/similar checks, and order documentation requirements.
  • Review edits/rejections, analyze root causes, and implement corrective actions to improve first-pass yield.

Quality, Compliance & Documentation

  • Maintain SOPs/work instructions; enforce HIPAA and client data-security protocols.
  • Run audits on samples for accuracy and compliance; publish CAPA where deviations occur.
  • Prepare and share daily/weekly MIS: productivity, quality, DSO, denial trends, aging buckets, and recovery.

Stakeholder Communication

  • Serve as first point of contact for internal leadership regarding production/quality status, risks, and escalations.
  • Coordinate with client POCs on clarifications, payer policy updates, and process enhancements.

Preferred candidate profile

  • Advanced Excel for reporting (pivot tables, lookups) and data-driven decision-making.
  • Exposure to DME software/EHRs (e.g., Brightree, Kareo, or similar).
  • Strong written and verbal communication, with crisp client-facing updates.
  • Analytical problem-solving, coaching mindset, and change management capability.

KPIs You Will Own

  • Clean-claim rate & first-pass resolution rate
  • Denial rate and recovery TAT
  • AR aging (030/3160/61–90/90+) & DSO
  • Productivity per FTE and audit quality score

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