Billing Team Leader - Remote

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Provides day-to-day guidance, mentoring, and support to the RCM department.
• Assists the team in resolving complex claim issues and member escalations, identifies trends, and ensures timely and effective resolutions.
• Recommends and coordinates training opportunities to enhance RCM member skills and knowledge.
• Identifies process improvement opportunities and participates in operational initiatives.
• Collaborates with internal and external stakeholders to resolve complex issues and improve overall credit/refund performance.
• Establishes effective communication channels to ensure alignment between departments.
• Actively works and monitors the escalation queue to ensure timely resolution of tasks.
• Analyzes escalation trends and provides real-time and scheduled feedback to team members.
• Delivers targeted training and coaching to enhance team members’ understanding of escalation scenarios and best practices.
• Serves as the primary point of contact for complex or sensitive escalation cases.
• Creates and processes the weekly refund check utility file in accordance with established timelines and quality standards.
• Affords assistance with all refund reports and projects as needed.
• Helps onboard and mentor new team members, reinforcing departmental policies and procedures.
• Provides backup coverage and support to the supervisor or manager when needed.

Qualifications

• Bachelor's degree in a related field preferred.
• 2+ years of experience in a lead or supervisory role with a proven track record of team development and mentoring.
• 3+ years of experience in revenue cycle management, specifically in collections and/or denial management.
• Strong understanding of healthcare billing principles, insurance claims processing, and reimbursement methodologies.
• An analytical mindset with the ability to interpret data and generate meaningful insights.
• Strong problem solving and decision-making abilities.
• Exceptional communication and interpersonal skills.