Team Lead

2 weeks ago

Pasig, Philippines Eastvantage Full time

Team Lead - Revenue Cycle Management (Onsite) Company: Eastvantage 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. 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 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 team. What We’re Looking For 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). Proficiency 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 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 align with client time zones. #J-18808-Ljbffr

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