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based on 30 Reviews

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Team Leader - RCM (End To End)

SOLVEDGE TECHNOLOGY SERVICES PVT LTD

based on 30 Reviews

8-9 years

Chennai

1 vacancy

Team Leader - RCM (End To End)

SolvEdge

posted 5d ago

Flexible timing

Key skills for the job

+ 4 more

Team Management: Set team goals and KPIs. Delegate tasks, manage day-to-day operations, and oversee performance. Create a motivating work environment and conduct regular evaluations.
Client Communication: Update clients on project performance, address concerns, and ensure SLAs are met. Join client calls as needed.
Performance Oversight: Ensure high-quality delivery and process efficiency. Analyze trends in charges, coding, and collections. Address issues proactively and implement strategies for improvement.
Reporting: Prepare and review RCM reports and financial reports. Monitor and report on team performance and project outcomes.
Training and Development: Identify training needs, provide coaching, and organize team-building activities. Resolve team conflicts and integrate feedback.
Operational Efficiency: Manage work allocation and workforce effectiveness. Stay updated with carrier rule changes and share information with clients and the team.
Financial Management: Oversee month-end financial closeout, provide billing information for RCM revenues, and maintain SOPs based on client feedback.
Strategic Planning: Adjust staff and policies based on performance metrics. Develop strategies to enhance revenue and meet client goals.

Requirements :

Experience:

Minimum of 8+ years of experience in RCM with strong client interaction experience.
Proven experience leading large teams (25+ FTE) in various RCM verticals such as Insurance Eligibility and Verification, Charge Entry, Payment Posting, A/R Follow-up, Denial Management, and more.

Skills:

Communication : Excellent written and verbal communication skills
RCM Expertise: Strong knowledge in end-to-end RCM processes, with a focus on billing (End-to-End RCM)
Billing Software Proficiency: Experience with more than 3 billing software systems, such as ECW, Athena, Office Ally, Allscripts, Cerner, etc.
Trend Analysis: Capable of conducting trend analysis and strategic planning to drive revenue improvement.
Problem-Solving: Strong critical thinking and problem-solving skills to address operational challenges.
Leadership People Management: Experience managing a diverse team, motivating them to achieve high performance.
Metrics: In-depth knowledge of performance metrics to monitor, evaluate, and improve team productivity.

Technical Expertise:

Billing Knowledge: Strong understanding of insurance guidelines and regulations, including CPT and ICD-10 Codes, HCFA 1500 and UB04 Claim forms, and insurance benefits
Compliance: Familiarity with HIPAA, insurance appeal processes, and compliance regulations.

Specialty Knowledge:

Experience working across multiple specialties such as Orthopedics, Pain Management, Chiropractic, Radiology, Sports Medicine, Physical Therapy, and Family Practice

Operational Management:

Ability to manage daily operations, including production, quality, error tracking, and managing multiple concurrent projects.
Proven ability to adapt processes and strategies to improve efficiency and meet client goals

Employment Type: Full Time, Permanent

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