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$25-30 an hour
Birmingham, AL
Join a leading comprehensive medical practice management organization dedicated to providing highly experienced business leadership to physician practices. Our client is seeking a seasoned RCM Team Lead to manage and optimize medical claims processing, payment posting, and claims follow-up functions.
This pivotal role requires a deep understanding of the revenue cycle and proven leadership ability. This hire will be a key change agent, responsible for workflow optimization, team performance, and driving continuous improvement in claims processing.
Job Duties:
Qualifications:
At our clients’ request, only individuals with required experience will be considered.
Please note - if you have recently submitted your resume to a PangeaTwo posting, your qualifications will be considered for other open opportunities.
Your resume will never be submitted to a client without your prior knowledge and consent to do so.
IND123
Revenue Cycle Management (RCM) Healthcare Team Lead
Revenue Cycle Management (RCM) Healthcare Team Lead$25-30 an hour
Birmingham, AL
Join a leading comprehensive medical practice management organization dedicated to providing highly experienced business leadership to physician practices. Our client is seeking a seasoned RCM Team Lead to manage and optimize medical claims processing, payment posting, and claims follow-up functions.
This pivotal role requires a deep understanding of the revenue cycle and proven leadership ability. This hire will be a key change agent, responsible for workflow optimization, team performance, and driving continuous improvement in claims processing.
Job Duties:
- Supervision: Assign and monitor the daily workload and process workflow for a designated team of RCM Analysts and Account Representatives.
- Performance Monitoring: Work closely with management to establish monthly goals and Key Performance Indicators (KPIs). Produce and share productivity reports weekly and provide consistent performance feedback to the team.
- Training & Quality: Provide continual education and on-the-job training to staff, addressing identified areas of opportunity. Conduct weekly random claim audits for each employee and review findings.
- Process Improvement: Act as a change agent by identifying opportunities to improve the claims processing workflow for the entire revenue cycle. Create compiled data reports and escalate issues to leadership for resolution.
- Claims Processing: Enter and ensure the completeness and accuracy of all information necessary for insurance claims (patient details, codes, modifiers, etc.).
- Submission: Validate, correct, and ensure timely electronic or paper submission of claims to clearinghouses and individual payers.
- Follow-Up & Resolution: Proactively follow up on unpaid or rejected claims, resolve complex claim issues, and prepare professional appeal letters with necessary supporting information when denials are not warranted.
- Collections: Provide necessary information to collection agencies for past due accounts.
- Trending: Compile data for trending analysis of errors and rejected claims to pinpoint root causes and systemic issues.
Qualifications:
- Experience: Minimum of five (5) years of experience in healthcare, insurance, or revenue cycle operations is required.
- Preferred Education: Bachelor's Degree.
- System Experience (Highly Required): Proven, extensive experience (10+ years is noted in the source material) with industry-standard practice management/HRIS software, specifically MDI and Nextgen.
- Essential Skills: Exceptional organizational skills, the ability to prioritize workload, and a high degree of proficiency and accuracy. Must be adaptable to a constantly changing work environment and maintain strict confidentiality.
- Travel: While the role is 100% in-office, some limited travel (estimated around 10%, not to exceed 25%) is required for meetings in remote offices (e.g., Tuscaloosa, Montgomery, Huntsville), likely on a quarterly basis.
At our clients’ request, only individuals with required experience will be considered.
Please note - if you have recently submitted your resume to a PangeaTwo posting, your qualifications will be considered for other open opportunities.
Your resume will never be submitted to a client without your prior knowledge and consent to do so.
IND123