India

Team Lead Cherthala

Team Lead Cherthala
Description
Job Title: RCM – Operations Team Lead

Department: Revenue Cycle Management (RCM)

Industry: Healthcare

Reporting To: Operations Manager / RCM Manager

Working Days: 6 days

Rotational Shift:

Morning : 7 am to 3 pm IST

Evening : 3 pm to 11 pm IST

Night : 11 pm to 7 am IST

Role Summary

The RCM Operations Team Lead will be responsible for managing day-to-day revenue cycle operations, ensuring accuracy in billing and collections, improving process efficiency, and leading a team to achieve performance targets.

Key Roles & Responsibilities

Operational Management

Oversee end-to-end RCM processes.

Monitor daily productivity and quality metrics of the team.

Ensure compliance with payer guidelines, HIPAA regulations, and healthcare billing standards.

Ensure timely claim submission and follow-up to meet revenue targets.

Team Leadership & Supervision

Manage and guide a team of RCM Executives/Analysts.

Conduct daily huddles and weekly performance reviews.

Identify training needs and coordinate refresher sessions.

Provide feedback and performance improvement plans (PIP) where required.

Ensure adherence to attendance, shift schedules, and discipline standards.

Quality & Compliance

Conduct periodic quality audits of claims, and follow-up documentation.

Ensure SOP adherence and update process documentation as needed.

Maintain compliance with HIPAA and client-specific policies.

Support internal and external audits.

Process Improvement & Reporting

Analyze operational data.

Identify root causes for revenue leakage and implement corrective measures.

Drive automation or process enhancement initiatives.

Prepare MIS reports and dashboards for leadership review.

Escalate critical issues proactively with resolution plans.

Required Qualifications

Bachelor’s degree (Healthcare Administration, Life Sciences, Commerce or related field preferred).

3–4 years of experience in Healthcare RCM.

Minimum 1–2 years of team handling experience.

Robust understanding of US Healthcare billing p Apply on Kit Job: kitjob.in/job/4mfldo
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