rcm team lead- home health

2 weeks ago

Work from Home, Philippines 97b87990-e144-471e-ac33-d533220c846f Full time ₱900,000 - ₱1,200,000 per year

CLINIQON IS HIRING FOR RCM TEAM LEAD

The Team Lead – Home Health & Hospice Billing is responsible for overseeing the day-to-day billing operations, ensuring accurate and timely submission of claims, and guiding the billing team to meet productivity, quality, and compliance targets. This role requires strong knowledge of Home Health & Hospice billing regulations, NOA/NOE processes, payer-specific guidelines, and end-to-end RCM workflows. The Team Lead serves as the first level of escalation, ensures process adherence, and collaborates with QA, AR, Coding, and Clinical teams to resolve billing issues.

KEY RESPONSIBILITIES

  • Assign daily tasks and monitor workload.
  • Conduct team huddles and performance reviews.
  • Oversee NOA/NOE, Final, and Hospice billing.
  • Review claims for accuracy and completeness.
  • Ensure proper use of EMR systems and clearinghouses.
  • Ensure all billing follows payer and Medicare/Medicaid guidelines.
  • Maintain SOPs and perform regular quality checks.
  • Identify and address process issues.
  • Handle escalations for claim errors and rejections.
  • Coordinate with AR, Coding, Intake, and Clinical teams.
  • Track submissions, rejections, timely filing and unbilled claims and report them immediately.
  • Prepare and share performance reports.

REQUIRED SKILLS & QUALIFICATIONS

  • Minimum 1–2 years of Home Health & Hospice billing experience (mandatory).
  • Deep knowledge of:
  • CMS regulations
  • NOA/NOE processes
  • Timely filing guidelines
  • Proficiency in EMR platforms (e.g., Axxess, WellSky, Kinnser) and clearinghouses.
  • Strong communication, team management, and problem-solving skills.
  • Ability to analyze trends and generate operational insights.
  • High attention to detail and process-oriented mindset.
  • Ability to manage a high performing team of 15+ agents who work remotely in different time zones and geography.

Interested applicants may send their resume or

Job Types: Full-time, Permanent

Benefits:

  • Additional leave
  • Company Christmas gift
  • Company events
  • Health insurance
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Promotion to permanent employee
  • Work from home

Work Location: Remote

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