Team Lead (DME)

Knack RCM; Mohali; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Knack RCM is hiring a Team Lead for DME Billing Operations in Jaipur. You will oversee daily DME Billing and AR activities, drive performance, ensure quality and timely submissions, and manage payer follow-up with a focus on Medicare, Medicaid, and commercial payers.

The role requires 4–8 years in US Healthcare RCM with strong leadership, process adherence, and a results-driven mindset. You will mentor a team of 10–25 FTEs and collaborate with stakeholders to optimize collections and denials.

Qualifications

• Graduate in any discipline andBusiness Administration required.
• Relevant certifications in Revenue Cycle Management preferred.
• Experience in DME Billing and AR operations is essential.

Responsibilities

• Lead and manage a team of DME Billing and AR Specialists.
• Ensure daily productivity, quality, and SLA targets are met.
• Track performance and implement corrective actions as needed.
• Drive adherence to client processes and billing guidelines.
• Coordinate appeals and payer escalations when required.

Skills

DME Billing

AR Follow-up

Denial Management

Medicare/Medicaid Guidelines

Commercial Payer Processes

Team Leadership

Education

Graduate in any discipline

Business Administration

Revenue Cycle Management Certs

Job description

TITLE: Team Lead – DME Billing Operations

Location: Jaipur

Experience: 4–8 Years

POSITION SUMMARY

We are seeking a dynamic and performance-driven Team Lead – DME Billing Operations to oversee daily operations within our Durable Medical Equipment (DME) Revenue Cycle Management (RCM) practice. The ideal candidate will be responsible for driving team productivity, ensuring quality deliverables, maximizing collections, and supporting operational excellence across DME Billing and Accounts Receivable functions.

The role requires strong expertise in DME Billing, AR Follow-up, Denial Management, Medicare/Medicaid Guidelines, Commercial Payer Processes, and Team Handling.

KEY RESPONSIBILITIES

Operations Management

• Lead and manage a team of DME Billing and AR Specialists.
• Ensure daily productivity, quality, and SLA targets are consistently achieved.
• Monitor work queues and ensure timely completion of assigned activities.
• Track operational performance and implement corrective actions as required.
• Drive adherence to client processes, billing guidelines, and organizational standards.
• Ensure timely claim submissions and effective follow-up on outstanding receivables.
• Manage AR follow‑up activities across Medicare, Medicaid, and Commercial Payers.
• Monitor AR aging and drive initiatives to improve collections and reduce outstanding balances.
• Review and resolve denied, rejected, and underpaid claims.
• Coordinate appeals, reconsiderations, and payer escalations where necessary.
• Identify denial trends and work with management to implement preventive measures.
• AR Aging
• Collections Performance
• Productivity
• Quality Scores
• Recovery Rate
• Provide day‑to‑day guidance, coaching, and support to team members.
• Conduct regular performance reviews and feedback sessions.
• Identify training needs and support skill enhancement initiatives.
• Drive employee engagement and foster a positive team environment.
• Assist in onboarding and mentoring new hires.
• Ensure team adherence to attendance, productivity, and quality expectations.

Client & Stakeholder Coordination

• Support managers in client reporting and operational reviews.
• Participate in internal and external stakeholder meetings as required.
• Escalate operational challenges and proactively recommend solutions.
• Ensure effective communication across teams and departments.

Quality & Compliance

• Ensure compliance with Medicare, Medicaid, HIPAA, and Commercial Payer guidelines.
• Maintain high standards of quality and accuracy across all processes.
• Support internal audits and compliance initiatives.
• Drive process adherence and continuous quality improvement initiatives.

EDUCATIONAL QUALIFICATIONS

• Graduate in any discipline
• Business Administration
• Relevant certifications in Revenue Cycle Management

DESIRED CANDIDATE PROFILE

• 4–8 years of experience in US Healthcare Revenue Cycle Management.
• Minimum 3–5 years of experience in DME Billing and Accounts Receivable Operations.
• Prior experience as a Subject Matter Expert (SME), Senior Executive, or Team Lead preferred.
• AR Follow-up
• Appeals & Reconsiderations
• Medicare & Medicaid Billing
• Commercial Insurance Billing
• Revenue Recovery
• Experience managing teams of 10–25 FTEs.
• Strong understanding of payer guidelines and DME reimbursement processes.
• Excellent communication, analytical, and problem‑solving skills.
• Ability to manage team performance in a target‑driven environment.