Team Lead Revenue Cycle Collections Specialist

Overview Position: Team Lead Revenue Cycle Collections Specialist FLSA Classification: Exempt Reports to: Revenue Cycle Management Manager Supervises : N/A Purpose : As a key member of the Revenue Cycle Management team, the Team Lead - Revenue Cycle Collections Specialist, is responsible for overseeing daily collection activities, supporting staff performance, and ensuring the timely resolution of outstanding insurance and patient accounts receivable. This position serves as a subject matter expert for collection processes, payer follow‑up, denial resolution, and account reconciliation. The Team Lead drives team productivity, supports operational excellence, and collaborates with internal departments to maximize reimbursement, reduce aging accounts receivable, and improve overall revenue cycle performance. Success in this role requires strong leadership, analytical skills, payer knowledge, and a commitment to delivering results while fostering a positive team environment. Outcomes Ensure timely collection and resolution of outstanding insurance and patient receivables to maximize revenue recovery. Reduce aged accounts receivable balances through proactive follow‑up and escalation strategies. Support team achievement of productivity, quality, and collection performance goals. Improve cash flow and revenue cycle effectiveness through efficient account management and denial resolution. Maintain compliance with payer regulations, contractual requirements, and organizational policies. Responsibilities Lead and coordinate daily activities of Revenue Cycle Collections Specialists, ensuring workload distribution and productivity expectations are met. Monitor accounts receivable aging reports and prioritize collection efforts based on organizational goals. · Review and resolve complex payer denials, underpayments, claim rejections, and account discrepancies. Serve as a resource for team members regarding payer policies, reimbursement guidelines, and collection best practices. · Conduct routine audits of staff work to ensure quality, accuracy, and compliance with policies and procedures. Track and report collection metrics, productivity standards, aging trends, and reimbursement outcomes. Assist with staff onboarding, training, coaching, and ongoing development initiatives. Escalate payer issues, reimbursement concerns, and workflow barriers to management as appropriate. Collaborate with billing, coding, credentialing, compliance, finance, and clinic leadership teams to address revenue cycle challenges. Identify trends affecting reimbursement and recommend process improvements to increase collections and reduce denials. Oversee escalated payer and patient account issues professionally and effectively. Ensure accurate documentation of collection activities, account notes, and follow‑up actions within practice management and billing systems. Support month‑end and year‑end revenue cycle activities as needed. Maintain confidentiality and security of patient, financial, and organizational information always. Requirements Associate’s degree required; three (3) years of relevant revenue cycle experience may be substituted for educational requirements. Minimum of three (3) years of healthcare revenue cycle collections experience required. · Previous experience leading, mentoring, or training staff preferred. Strong knowledge of medical billing, collections, accounts receivable management, payer reimbursement methodologies, and denial management. Experience working with commercial, government, and managed care payers. Strong analytical, problem‑solving, and organizational skills. Advanced proficiency in revenue cycle systems, practice management systems, and Microsoft Office applications. Ability to prioritize multiple responsibilities while meeting deadlines in a fast paced/demanding environment. Excellent written and verbal communication skills. Demonstrate professionalism, accountability, and sound decision‑making. Consistently embody and promote BI’s core values in all interactions. Expectations Take ownership of team performance and proactively address productivity gaps, workflow bottlenecks, and training opportunities. Maintain a visible, supportive leadership presence by providing real‑time guidance, coaching, and feedback to team members. Ensure timely and accurate completion of collection activities in alignment with organizational goals and payer requirements. Foster a culture of accountability, collaboration, customer service, and continuous improvement. Monitor team performance metrics and implement action plans to achieve collection and aging reduction goals. · Communicate clearly, respectfully, and proactively with team members, leadership, and cross‑functional departments. Support employee engagement and professional development through mentoring and ongoing performance coaching. Promote process improvement initiatives that enhance efficiency, quality, and reimbursement outcomes. Maintain compliance with organizational policies, payer guidelines, and regulatory requirements. Physical Demands/Work Environment This is a high growth, fast paced organization and the work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Mental acuity to collect and interpret data, evaluate, reason, define problems, establish facts, draw valid conclusions, make valid judgement and decisions. Must be able to receive detailed information through oral and written communication. Must be able to communicate, convey and exchange information through oral and written communication. See near and far distances and distinguish colors. Noise level low to moderate. Must be able to occasionally stand, walk, stoop, kneel, crouch, crawl, reach with hands and arms. Regularly sit, talk, see close, frequently perform fine motor tasks, cope with noise level in most times moderate, but will occasionally get loud, occasionally lift or move up to 50 pounds. Physical Demands Occasional (1-33%) Frequent (34-66%) Constant (67-100%) Light physical activity performing non‑strenuous daily activities of an administrative nature (sitting, standing, walking) Operates a computer and other office equipment such as copy machine and printer Repetitive motions of the wrists, hands, and/or fingers Ability to lift up to 25 Ibs. #J-18808-Ljbffr Behavioral Innovations