(Remote) Team Lead, Account Follow-Up Services

This is a remote role open to candidates anywhere in the US, with preference given to those who can work in the CST timezone.

About the role

Provide strategic oversight of Hospital Insurance Follow-Up Services, including multi-team performance, payer strategy, denial prevention initiatives, workforce planning, and operational scaling. Drive measurable improvement in A/R aging, collections performance, and denial overturn rates through KPI leadership, cross-functional collaboration, training programs, continuous process innovation, and dynamic priority adjustment.

The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools—including copilots, chat-based AI assistants, and automation platforms—to improve workflows, solve problems, and increase efficiency while maintaining appropriate judgment, security, and compliance standards.

Responsibilities

• Own performance across one or more Insurance Follow-Up teams (or multiple clients), setting daily/weekly/monthly targets for productivity, quality, and collections to meet service-level expectations.
• Lead KPI governance (Days in A/R, A/R > 90, denial rate, overturn rate, net collection rate, first-pass resolution, productivity per FTE, quality) and build executive-ready reporting; drive corrective action plans.
• Conduct payer trend analysis and root-cause programs to reduce preventable denials (eligibility, auth, coding/modifiers, timely filing, medical necessity, COB).
• Standardize best practices for appeals, reconsiderations, and payer escalations; partner with leadership on payer playbooks and escalation pathways.
• Design and maintain scalable training programs, SOPs, and payer-specific job aids; establish QA frameworks and audit cadence.
• Monitor error trends, implement remediation plans, and develop team leads through structured coaching and succession planning.
• Drive workflow optimization through queue design, inventory management, and prioritization strategies; recommend technology improvements (automation, templates, dashboards, portal utilization).
• Lead change management and adoption for new tools, payer policy updates, and client requirements.
• Collaborate with coding, payment posting, charge entry, eligibility, and client stakeholders to resolve systemic issues impacting A/R.
• Participate in client performance calls and support recovery plans for at-risk KPIs.

Requirements

• 3–5+ years of RCM experience with deep Insurance Follow-Up/Denials expertise.
• 2–4+ years leading teams (supervisor/team lead/manager level).
• Demonstrated success improving KPI outcomes (A/R aging reduction, denial reductions, increased overturn rate, improved collections).
• Strong analytics/reporting capability (Excel required; dashboard/reporting tools preferred).
• Advanced knowledge of payer behavior, denial categories, escalation processes, and appeals best practices.
• High-speed internet access (minimum 300 Mbps download speed) and unlimited data.
• Smartphone for Multi-Factor Authentication (MFA).
• Excellent communication skills (verbal & written), good judgment, tact, initiative, and resourcefulness.
• Detail-oriented, organized, and able to multi-task.
• Ability to build supportive relationships with peers, clients, partners, and executives.
• Flexible “can-do” attitude and ability to remain professional under high-pressure situations.
• Occasional travel to client sites may be required.

Benefits

• 3 weeks’ vacation and 5 personal days.
• Comprehensive medical, dental, and vision benefits starting from your first day of employment.
• Employee stock ownership and RRSP/401k matching programs.
• Lifestyle rewards.
• Remote work opportunities.

Pay

Salary range: $60,000 – $70,000.