RCM Lead - Front End - Remote

Optim • Savannah, GA

14h • Remote

About The Position

Under the direction of the RCM Supervisor - Front End and/or Revenue Cycle leadership, the RCM Lead - Front End supports the daily front-end revenue cycle operations for Optim Orthopedics. This role serves as a working lead for patient access, insurance verification, financial clearance, scheduling/check-out support, point-of-service collections, and front-end workflow resolution. The RCM Lead helps monitor daily work queues, supports staff training, escalates workflow barriers, and promotes accurate, timely, and patient-centered service.

Requirements

• High school diploma or general education degree (GED).
• Minimum of 2 years of experience in medical billing, front-end revenue cycle, collections, or accounts receivable.
• Minimum of 2 years of experience with insurance verification, patient access workflows, or financial clearance.
• Ability to read and comprehend simple instructions, short correspondence, and memos.
• Ability to write simple correspondence.
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Ability to sort and file materials correctly by alphabetic and numeric systems.
• Ability to calculate figures and amounts such as discounts, interest, and percentages.
• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
• Ability to deal with standardized situations with only occasional or no variables.
• Knowledge of Electronic Medical Records (EMR) preferably Athena Database software; Outlook and MS Word Processing software.
• Skills in operating in computers, copying, scanning and faxing.

Nice To Haves

• An associate degree or certificate in medical office administration preferred.
• Prior lead or training experience preferred.
• Experience with Athena Health or similar practice management systems is preferred.

Responsibilities

• Support daily patient access operations, insurance verification, authorizations for surgery/MRI/therapy, claim creation support, scheduling/check-out workflows, and point-of-service collections.
• Ensure accurate and complete patient demographic and insurance data entry to reduce claim denials.
• Assist authorization and surgery coordination teams with financial clearance follow-up to help ensure established timelines are met.
• Support staff in resolving real-time patient issues related to scheduling, insurance, or financial responsibility.
• Support patient and insurance refund workflows by ensuring items are routed according to established workflow and compliance expectations.
• Provide in person or virtual coverage during staffing gaps, high volume periods, or training transitions.
• Identify eligibility issues, authorization gaps, denial trends, and payer issues; escalate trends and recommended solutions to the RCM Supervisor and appropriate team members.
• Support front desk and billing staff in resolving patient billing inquiries and claim concerns.
• Assist with accuracy of receipt processing, reconciliation support, and monthly or yearly closing activities as directed by leadership.
• Ensure compliance with policies, procedures, and regulatory guidelines across all patient access and revenue operations.
• Participate in continuous improvement initiatives, including workflow enhancements and system upgrades.
• Prepare or assist with weekly productivity, performance, and workflow status reports for supervisor review.
• Provide day-to-day workflow guidance, coaching, and training support for front-end and RCM staff to promote productivity, professionalism, and adherence to standard workflows.
• Serve as a resource between RCM leadership and front-end staff by escalating issues timely and supporting follow-through on resolutions.
• Monitor daily production, work queues, and patient volume indicators; escalate workflow delays, staffing barriers, or anomalies.
• Assist with training, onboarding, and support for new recruits and trainees.
• Assist leadership with front desk and RCM staff coverage plans to help ensure adequate coverage at all locations.
• Act as a point of contact for workflow questions and immediate escalations in the absence of the RCM Supervisor or department leadership.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED