RCM Team Lead

AC3 Inc

5h • Hybrid

About The Position

The RCM Team Lead is responsible for overseeing the training of RCM team members. This role ensures that patient payments are accurately processed and submitted. They will ensure patient accounts are followed up on, noted, and resolved in a timely manner. The team lead provides coverage and monitors team performance. This position works with the A/R Manager to audit, ensuring best practices to optimize patient accounts and maximize collections. It also includes ensuring a high standard of customer service and compliance with healthcare regulations.

Requirements

• Associate's degree or certification in healthcare administration, business, or a related field (preferred).
• Minimum of 1-2 years of experience in patient accounts, billing, or revenue cycle management.
• At least 1-2 years of supervisory or leadership experience (preferred).
• Completion of a leadership course or certification
• Strong knowledge of medical billing, coding, and claims processing regulations.
• Familiarity with CPT, ICD-10, and HCPCS coding guidelines.
• Excellent leadership and team management skills.
• Strong analytical and problem-solving abilities.
• Effective communication skills (verbal and written).

Responsibilities

• Lead, teach and guide others and/or interact effectively when presented with challenging tasks and situations.
• Handle multiple assignments at once, resolve specific problems quickly, and meet deadlines.
• Perform and reconcile credit and collection functions.
• Assist in training new hires and clients in the medical payment posting and patient account process.
• Assist in formulating the credit and collection policy and audits refunds in accordance with the relevant policies.
• Manage and conduct weekly team meetings and one on one sessions with team members.
• Identifies, analyzes, and addresses challenges and/or breakdowns in the patient account and payment posting part of the revenue cycle process.
• Monitors delinquent accounts and assists in resolving issues to obtain payment such as setting up payment plans or forwarding to collections.
• Applies patient payments and adjustments to accounts by understanding EOB and statement reports accurately.
• Maintains accurate notes and correspondence details in patients’ chart/EMR.
• Answers all incoming calls and triages to RCM team in a professional and knowledgeable manner.
• Formats and delivers an annual unclaimed property report to management.
• Research and files for deceased patients’ estates.
• Maintains the practices and principles set forth by AC3 leadership with a strong commitment to service, excellence, and quality.
• Maintains professional behavior, confidentiality, and discretion always, along with the ability to work with all levels of staff with a confident and professional demeanor.
• Follows HIPPA rules and regulations.

Benefits

• medical, dental and vision health and wellness benefits
• employer paid life insurance, long and short-term disability policies
• above average paid time out plan
• comprehensive wellness program, including onsite biometrics and ongoing mental and physical wellness support
• access to company sponsored financial wellness counselors
• employee assistance services
• opportunity to enroll in our company-matched, 401k plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree