Position Overview
We are seeking an experienced Senior Team Lead / Associate Manager to oversee day-to-day RCM operations, including medical billing, charge entry, claim submission, AR follow-up, payment posting, and denial management. This hybrid leadership role requires hands‑on expertise in U.S. medical billing and the ability to manage and develop teams while ensuring high performance and client satisfaction.
This role is ideal for a candidate who has extensive experience in U.S. RCM and is ready to lead teams, manage client relationships, and drive operational excellence.
Key Responsibilities
- Supervise senior billers, AR specialists, team leads, and trainees.
- Assign tasks, monitor productivity, and review team performance daily.
- Provide training, coaching, and mentorship to improve skill levels.
- Conduct weekly team meetings and performance reviews.
- Maintain a positive, disciplined, and high‑performing team environment.
2. RCM Operations Oversight
- Ensure accurate and timely charge entry, claim submission, and insurance follow‑up.
- Maintain high clean‑claim rate and reduce payer‑specific errors.
- Monitor AR aging, collections performance, denial trends, and unresolved claims.
- Oversee denial management workflows including appeals, corrected claims, and documentation requests.
- Manage payment posting accuracy (if included in assigned scope).
3. Client Relationship Management
- Serve as the primary point of contact for assigned U.S. healthcare practices.
- Conduct monthly performance review meetings and share RCM KPIs.
- Communicate issues, updates, and resolutions promptly to clients.
- Coordinate with providers to gather missing documents or clarify billing issues.
4. Reporting & Data Analysis
- Prepare weekly and monthly reports on billing, AR, collections, and denials.
- Analyze practice‑level trends to identify improvement areas.
- Recommend process improvements to increase revenue and operational efficiency.
- Track team KPIs including productivity, accuracy, TAT, and collection goals.
- Work with Credentialing, Coding, QA, and Tech teams to resolve cross‑functional issues.
- Support onboarding of new clinics/providers into the RCM workflow.
- Assist with system improvements, EMR optimizations, and process automation initiatives.
6. Compliance & Quality Control
- Ensure adherence to HIPAA, payer guidelines, and internal SOPs.
- Identify errors and implement corrective action plans.
- Conduct quality audits to ensure accurate documentation and compliance.
Required Skills & Qualifications
- 4–7+ years of experience in U.S. medical billing, AR, and RCM operations.
- Strong knowledge of CPT, ICD-10, HCPCS, modifiers, claim lifecycles, and denial categories.
- Proven experience supervising teams and managing performance.
- Excellent English communication skills for client interaction.
- Strong analytical skills with proficiency in Excel/Google Sheets.
- Experience with major EMRs (eCW, CareCloud, DrChrono, Athena, AdvancedMD).
- Ability to handle complex escalations and work under pressure.
Preferred Qualifications
- Experience managing multi-specialty practices (IM, OB/GYN, Urgent Care, Endocrinology, Behavioral Health, etc.).
- Exposure to credentialing workflows and compliance requirements.
- Experience with automation/AI‑based billing tools (added advantage).
- Strong leadership presence and problem‑solving abilities.
- Competitive salary + monthly performance incentives.
- Professional training and development opportunities.
- Health/medical allowance (if applicable).
- Opportunity to lead high‑impact U.S. healthcare accounts.
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