Team Lead, Revenue Cycle Operations
Health Business Solutions LLC
As a Recovery Lead in Healthcare Revenue Cycle Management, you will oversee the day-to-day operations of denials analysis, resolution, and prevention, ensuring our clients experience improved revenue capture.
Key Responsibilities:
- Service Delivery
- Supervise a team of denials management specialists, providing guidance, and ensuring adherence to best practices.
- Analyze denied claims to accurately identify root causes (coding errors, missing authorizations, etc.) and develop corrective action plans.
- Work collaboratively with clients’ internal teams to address and resolve systematic issues contributing to denials.
- Monitor and analyze denials trends, using data to develop strategies to improve clean claim rates.
- Establish and maintain clear denial management processes and procedures to ensure efficient and compliant claim resolution.
Leadership
- Provide training, coaching, and feedback to team members to enhance their performance and development.
- Collaborate with management to identify and address process improvement opportunities within the denials management function.
- Stay informed on regulatory changes and industry best practices in denials management and share knowledge with the team.
- Create and maintain detailed reports on denials management activities for clients and internal review.
Business Development
- Build a professional network, taking opportunities to share marketing content on platforms such as LinkedIn to build positive brand awareness.
Culture
- Foster a positive, collaborative, and results-oriented team environment.
- Champion a commitment to accuracy, efficiency, and exceptional client service.
Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
- Minimum of 3-5 years of experience in healthcare revenue cycle management, with a strong focus on denials analysis and resolution.
- In-depth knowledge of healthcare coding, billing, and reimbursement regulations.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills, with the ability to work effectively with internal and external stakeholders.
- Demonstrated ability to lead and motivate a team.
Vacancy posted 1 day ago
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