RCM Lead

Virtual Teammate • Glendale, AZ

3d

About The Position

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, and 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.

Requirements

• Medical billing
• Claims submission
• Payment posting
• Accounts Receivable (AR) follow-up
• Denial management
• Insurance verification
• HIPAA compliance
• Payer guidelines
• Healthcare regulations

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
• Ensure timely and accurate claims submission
• Analyze denied/rejected claims and implement corrective actions
• Track and monitor KPIs
• 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

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed