Team Lead, Enterprise RCM Operations

Key Responsibilities

Enterprise Client Partnership & Operational Oversight

• Serve as the primary operational point of contact for assigned enterprise client accounts related to Accounts Receivable, Billing, Payment Posting, and revenue cycle workflows.
• Develop expert knowledge of client workflows, payer behavior, operational processes, provider nuances, and account-specific requirements.
• Function as an extension of the client’s revenue cycle team and maintain strong working relationships with client stakeholders.
• Partner with Client Success Managers on client health, operational alignment, escalations, and performance initiatives.
• Identify workflow inefficiencies, operational gaps, denial trends, and revenue cycle improvement opportunities.
• Provide revenue cycle best-practice recommendations and participate in client meetings, operational reviews, and escalation discussions.

Revenue Cycle Performance & Root Cause Analysis

• Analyze denied and rejected claims, underpayments, payment variances, and workflow breakdowns across payer systems, clearinghouses, and internal platforms.
• Identify systemic operational issues and implement corrective actions and sustainable process improvements with internal teams and clients.
• Monitor Accounts Receivable, denial trends, aging performance, and payment anomalies.
• Serve as the first line of escalation for claim resolution, payer issues, and workflow challenges.
• Translate operational findings and account trends into actionable recommendations.

Team Leadership & Operational Management

• Assign and prioritize weekly workloads based on client needs, claim volumes, account priorities, and service expectations.
• Oversee daily performance across Accounts Receivable, Billing, Payment Posting, and related revenue cycle functions.
• Use dashboards, reporting tools, clearinghouse data, and productivity metrics to monitor quality and task completion.
• Identify operational risks, workflow bottlenecks, and performance concerns while driving accountability and resolution.
• Ensure end-of-month processes, reconciliations, and reporting deliverables are completed accurately and on time.
• Support adherence to internal workflows, payer requirements, and client expectations.

Training, Coaching & Team Development

• Facilitate onboarding and ongoing training across client workflows, payer requirements, systems, and operational processes.
• Coach team members on claim preparation, submission quality, denial resolution, payment posting, and Accounts Receivable follow-up.
• Conduct 1:1 meetings, team syncs, and development discussions focused on performance, accountability, and growth.
• Mentor team members on operational problem-solving, client communication, and revenue cycle best practices.
• Foster collaboration, continuous improvement, operational ownership, and high-quality client support.

Reporting, Analytics & Strategic Support

• Generate, review, and distribute monthly reporting on Accounts Receivable performance, patient balances, refund balances, denial trends, payment variances, and operational KPIs.
• Leverage AR Aging Reports, Denial/Rejection Dashboards, EOB Tracking Logs, Claim Submission Logs, Productivity Reports, and client-specific analytics.
• Ensure accurate, timely reporting for financial analysis, operational planning, and client discussions.
• Research and recommend account adjustments, write-offs, workflow enhancements, and operational improvements with supporting analysis.
• Support enterprise client audits, operational reviews, escalations, and strategic initiatives.

Requirements

• At least 2 years of hands-on experience managing the day-to-day functions of a billing and collections team, including reviewing, coding, and collecting for professional services.
• Demonstrated proficiency in healthcare revenue cycle management.
• Ability to drive organizational change and guide teams through change-management initiatives.
• Strong leadership, team development, coaching, mentoring, and situational assessment skills.
• Proven ability to foster continuous improvement and build high-performing teams.
• Proficiency with Google for Business, Microsoft Excel, Microsoft Word, and related software applications.
• Familiarity with healthcare billing and collections clearinghouses and SaaS products is highly desirable.

Compensation & Benefits

• Salary range: $70,000–$85,000 annually.
• Competitive salaries.
• Remote/hybrid environment.
• Potential equity compensation for outstanding performance.
• Flexible PTO.
• Company-paid disability and life insurance.
• Company-paid family and medical leave.
• Medical, dental, and vision insurance.
• Discounted pet insurance.
• FSA/DCA and commuter benefits.
• 401(k).
• Company-sponsored lunches.
• Complimentary subscription.