RCM LEAD
Virtual Teammate•Glendale, AZ
•$7 - $8
About The Position
This role involves managing and overseeing daily revenue cycle operations, ensuring timely and accurate claims submission, analyzing and resolving denied claims, and driving process improvements to maximize collections. The RCM Lead will also be responsible for ensuring compliance with relevant regulations, collaborating with various teams, and leading the RCM staff.
Requirements
- Manage and oversee daily revenue cycle operations, including medical billing, claims submission, payment posting, Accounts Receivable (AR) follow-up, denial management, and insurance verification.
- Ensure timely and accurate claims submission.
- Analyze denied/rejected claims and implement corrective actions.
- Track and monitor KPIs such as clean claim rate, Days in AR, denial rates, and collection rates.
- Ensure compliance with HIPAA, payer guidelines, and healthcare regulations.
- Collaborate with providers, operations, and finance teams.
- Train, mentor, and support RCM staff.
- Conduct audits to identify process gaps and revenue leakage.
- Drive process improvements to maximize collections.
- Communicate with insurance companies for claims resolution.
- Prepare reports and present performance updates to leadership.
Nice To Haves
- High attention to detail and accuracy
- Ability to manage multiple priorities
- Strong leadership and coaching skills
- Process improvement mindset
- Excellent customer service and stakeholder management
Responsibilities
- Manage and oversee daily revenue cycle operations, including medical billing, claims submission, payment posting, Accounts Receivable (AR) follow-up, denial management, and insurance verification.
- Ensure timely and accurate claims submission.
- Analyze denied/rejected claims and implement corrective actions.
- Track and monitor KPIs such as clean claim rate, Days in AR, denial rates, and collection rates.
- Ensure compliance with HIPAA, payer guidelines, and healthcare regulations.
- Collaborate with providers, operations, and finance teams.
- Train, mentor, and support RCM staff.
- Conduct audits to identify process gaps and revenue leakage.
- Drive process improvements to maximize collections.
- Communicate with insurance companies for claims resolution.
- Prepare reports and present performance updates to leadership.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
