Team Lead - Revenue Cycle Management

The optimal candidate seamlessly blends high-level technical billing expertise with strategic operational leadership. This role requires a hands-on professional who works alongside their billers in the day to day RCM, while simultaneously managing the broader performance and growth of their team. We hire for both remote and onsite positions. Qualifications 8 years of medical billing outpatient physician services (5+ specifically in pediatrics) 2+ years supervising a team of 8 or more RCM staff Ability to identify reimbursement trends and root causes of denials Strong track record of denial resolution and successful appeals management Proficiency in at least 3 major EHR/Billing platforms Proven ability to manage 80-100 claims per day Professional communication with clients, providers, payers, and internal team Proactive, goal-oriented leadership with ability to foster a positive/motivating environment Demonstrated critical thinking and problem solving skills. CPC or CPB certification a plus Ideal Characteristics Ability to manage through change, foster a positive/motivating environment, and demonstrate proactive, goal-oriented leadership. Strong conflict resolution, critical thinking, pattern recognition, and a proven record of self-driven problem-solving. Clear, confident, yet open communication style. Mission-driven, research-oriented, and value-adding mindset. Ability to speak with depth about billing experiences, utilizing specific examples. Core Revenue Cycle Execution: Entering charges, claim scrubbing, claim submission, handling Clearing House rejections/edits, posting insurance payments, appealing denials, and reconciliation. Payor Portal Management: Using payor portal log-ins, chat features, and online correction/resubmission tools to resolve issues while minimizing phone calls to payors. Account Management: Engaging in hands-on account management and task work for assigned clients to balance leadership duties. Technical Proficiency: Working within multiple billing/EHR systems (e.g., eCW, Athena, PCC, EPIC, OP) and managing high-volume billing (80–100 claims/day). AR Management: Maintaining strong Accounts Receivable management, including reporting and daily AR work . Leadership & Oversight Responsibilities Mentorship & Supervision: Leading a team of 8–12 billing specialists, fostering a positive, collaborative, and accountable work environment. Operational Oversight: Managing daily revenue cycle operations, specifically insurance/patient collections, denial management, and coverage planning. Performance Management: Monitoring team performance metrics, conducting evaluations, and ensuring the accuracy and timely submission of claims. Communication & Escalation: Serving as the bridge between management and the team, providing guidance, addressing conflicts, and acting as the escalation point for client issues. Project Management: Managing multiple projects concurrently, such as overseeing other billers’ work and cleaning up neglected AR. Additional Qualifications for Any Remote Work The position is available fully remote for candidates who live beyond a reasonable commuting distance from our office in Winooski, VT. Local Vermont candidates are invited to apply for a hybrid position (3 days in office, 2 days remote). A private, dedicated space to ensure HIPAA compliance Sufficiently high speed and reliable internet service to perform the job. Download speed: optimal 10-20 mbps. Upload speed: over 5 mbps. Latency: under 50 is ideal. (Anything above 100 ms will not work.) A speed test for these metrics is available at Health, vision, dental insurance, and short-term disability CTO accrued from the 1st day of employment, beginning with 2 weeks 6 paid holidays with 5 additional paid days 3 paid days for personal emergency Paid time off for volunteer community service Paid parental leave Employee retirement account with 3% matching #J-18808-Ljbffr PedsOne, LLC