Team Lead, Revenue Recovery & Resolution

About the role

Working as a hands-on team resource, the Team Lead monitors recovery inventories, assigns and prioritizes work, manages escalations and high-priority cases, coaches Recovery Specialists, and identifies systemic reimbursement barriers. The position partners across Revenue Integrity, Billing, Order Management, Finance, and operational teams to accelerate cash, strengthen appeal outcomes, reduce revenue leakage, and improve sustainable recovery performance.

Responsibilities

• Operational Leadership: Monitor denial, appeal, underpayment, recovery, and aged-account inventories and associated work queues; assign and prioritize work based on aging, financial impact, payer requirements, recovery potential, and operational urgency; manage escalations, high-priority cases, and complex reimbursement issues requiring advanced review; serve as the first point of escalation and subject matter resource for assigned Recovery Specialists; escalate systemic payer, reimbursement, compliance, or operational barriers to management.
• Recovery Optimization & Appeals: Drive recovery outcomes across Commercial, Workers' Compensation, and Personal Injury payer categories; monitor appeal success rates, denial overturn performance, underpayment recovery, and payer responsiveness; guide team strategy for denied, underpaid, aged, or otherwise unresolved accounts; identify systemic barriers to reimbursement and recommend targeted resolution strategies; support effective payer escalation and follow-up approaches to accelerate reimbursement.
• Staff Leadership & Development: Coach, mentor, and provide day-to-day work direction to assigned Recovery Specialists; monitor individual and team productivity, quality, aging, and recovery performance; support onboarding, training, cross-training, and ongoing competency development; provide timely performance feedback and escalate recurring performance concerns to management; promote accountability, collaboration, and consistent execution of recovery standards.
• Revenue Protection & Operational Improvement: Identify trends contributing to denials, underpayments, aged receivables, revenue leakage, or delayed cash; support corrective actions and workflow improvements that strengthen reimbursement performance; partner with operational departments to address root causes and reduce preventable denial recurrence; provide recovery insights and trend information to support management reporting and prioritization; participate in continuous-improvement initiatives related to appeals, recovery, account resolution, and payer performance.
• Performance Measurement: Success measured against Key Performance Indicators (KPIs) including Recovery Dollars, Appeals Success Rate, Denial Resolution Rate, Cash Acceleration, Productivity Performance (once benchmarks established).

Requirements

• Associate degree required; Bachelor's degree preferred.
• Five (5)+ years of healthcare reimbursement, denial management, appeals, collections, or revenue recovery experience.
• Leadership, supervisory, coordinator, or team lead experience preferred.

Qualifications

• Working knowledge of DME/HME reimbursement and Commercial, Medicare, Workers' Compensation, and Personal Injury reimbursement and recovery processes.
• Strong understanding of denial resolution, appeals, underpayment recovery, aged accounts, payer follow-up, and reimbursement methodologies.
• Experience analyzing recovery inventories, payer trends, aging, productivity, and financial outcomes.
• Strong written and verbal communication skills with the ability to coach, prioritize, influence, and escalate effectively.
• Strong analytical, financial, organizational, and problem-solving skills with exceptional attention to detail.
• Experience with revenue cycle systems, payer portals, reporting tools, and Microsoft Office preferred.

Skills

• Frontline Leadership & Coaching
• Revenue Recovery Strategy
• Appeals Management
• Financial Analysis
• Problem Resolution
• Revenue Protection
• Critical Thinking & Problem Solving
• Cross-Functional Collaboration