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Team Lead - Revenue Cycle Management (Onsite)

Team Lead - Revenue Cycle Management (Onsite)

EastvantagePasig, Metro Manila, PH
13 days ago
Job description

🌟 We're Hiring : Team Lead - Revenue Cycle Management! 🌟

We are seeking a dedicated and experienced Team Lead – Revenue Cycle Management (RCM) to lead a growing offshore team supporting Paradigm Seniors, a US-based healthcare provider. The ideal candidate will be responsible for day-to-day team management, performance monitoring, client delivery, KPI adherence, and continuous improvement of the revenue cycle operations, including medical billing, collections, and payment posting.

This role requires hands-on experience in US healthcare RCM processes, excellent analytical and leadership skills, and a commitment to delivering operational excellence and value to the client.

📍 Location : Pasig, Philippines

⏰ Work Mode : Work From Office

💼 Role : Team Lead - Revenue Cycle Management (RCM)

What You'll Do :

  • Lead, mentor, and manage a team of RCM specialists handling billing, collections, and payment posting activities.
  • Oversee daily operations to ensure timely, accurate, and compliant execution of RCM processes.
  • Act as the single point of contact for the client for delivery updates, escalations, and issue resolution.
  • Monitor workload distribution, track productivity, and optimize team performance.
  • Ensure adherence to HIPAA compliance and company policies.
  • Track and report on agreed SLAs and KPIs, including denial resolution rate, days in A / R, payment posting accuracy, and claim rejection rates.
  • Conduct weekly / monthly performance reviews and share insights with internal and client stakeholders.
  • Drive client satisfaction through proactive communication, timely reporting, and issue resolution.
  • Conduct regular audits and root cause analyses for denials, underpayments, and billing errors.
  • Leverage reporting tools (Power BI, Excel dashboards, etc.) to identify trends and improvement opportunities.
  • Lead initiatives to streamline workflows, enhance process compliance, and automate repetitive tasks where applicable.
  • Facilitate knowledge sharing sessions, process trainings, and upskilling programs for the teams

What We’re Looking For :

  • Minimum of 5-7 years of experience in US healthcare revenue cycle operations, with at least 1–2 years in a team lead or supervisory role.
  • Strong understanding of medical billing, denial management, collections, payment posting, and related compliance guidelines (e.g., HIPAA).
  • Proficient in billing and EMR software, including familiarity with EOBs, ERAs, UB04, and HCFA 1500 forms.
  • Knowledge of payer-specific rules and processes, including Medicaid, Medicare Advantage, VA, and Workers' Compensation.
  • Solid experience in using healthcare billing codes (CPT, ICD-10).
  • Demonstrated success in improving A / R performance and reducing denials.
  • Proficiency in MS Office tools, particularly Excel (VLOOKUP, Pivot Tables, etc.); Power BI exposure is a plus.
  • Excellent communication, stakeholder management, and problem-solving skills.
  • Bachelor’s degree in healthcare administration, Accounting, or a related field.
  • Experience working in a BPO or offshore environment.
  • Exposure to Electronic Health Record (EHR) systems and clearinghouses.
  • Ability to work US shifts, if required, to ensure alignment with client time zones.

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    Team Lead • Pasig, Metro Manila, PH