Team Leader – RCM

SolvEdge Inc.; Chennai District; On-site; INR 1,200,000 - 2,400,000; Full time

Job summary

SolvEdge Inc. in Chennai invites an experienced RCM Team Leader to manage insurance follow-up, supervise a multi-role team in Prosthetics and Orthotics Supply (DMEPOS). You will guide day-to-day operations, monitor KPIs, and drive revenue improvement.

The role requires 4–6 years in insurance follow-up with at least 2 years in DMEPOS, strong billing software experience, and willingness to work night shifts. You will coordinate with clients and mentor staff.

Qualifications

• 4-6 years in insurance follow-up and team handling.
• Minimum 2 years in Prosthetics and Orthotics Supply (DMEPOS).
• Experience with CPT, HCPCS and ICD-10 Codes preferred.

Responsibilities

• Set clear team goals and KPIs.
• Delegate tasks and set project deadlines.
• Oversee day-to-day teams’ operation and performance.
• Conduct regular project performance evaluation.
• Create a healthy and motivating work environment.
• Communicate with Client about project performance.
• Monitor team performance and report on metrics.
• Motivate team members and provide coaching.
• Plan and organize team-building activities.

Skills

Communication skills

Billing process

Billing software

Trend analysis

Critical thinking

Ownership mindset

Performance metrics

Night shifts

Education

Any Degree / Diploma

Tools

Nymbl

Waystar

OPIE

ECW

AdvanceMD

Athena

Office Ally

MedEvolve

Allscripts

Cerner

Job description

Specialty : Prosthetics and Orthotics Supply (DMEPOS)

Qualification:

• Any Degree / Diploma

Experience

4-6 years in insurance follow-up and team handling with minimum 2 years in Prosthetics and Orthotics Supply (DMEPOS)

Skills Required:

• Excellent written and verbal communication skill
• Excellent knowledge in end-to-end billing process
• Should have working knowledge in more than 3 billing software
• Capable of Trend analysis and strategy planning on revenue improvement
• Critical thinker and problem-solving skills
• Sense of ownership and pride in performance and its impact on the company’s success
• In-depth knowledge of performance metrics
• Willingness to work continuously in night shifts

The Nymbl and Waystar billing software experience will be an added advantage with O & P experience in California State

A team leaderleads, monitors, and supervises a group of employees to achieve goals that contribute to the growth of the organization. Team leaders motivate and inspire their team by creating an environment that promotes positive communication, encourages bonding of team members, and demonstrates flexibility.

JobDescription

• Set clear team goals and KPIs
• Delegate tasks and set project deadlines
• Oversee day-to-day teams’ operation and performance
• Do regular Project performance evaluation
• Create a healthy and motivating work environment and atmosphere
• Communicate with Client about project performance
• Communicate with teams about their performance
• Monitor team performance and report on metrics
• Motivate team members
• Discover training needs and provide coaching
• Listen to team members’ feedback and resolve any issues or conflicts
• Plan and organize team-building activities

Expertise

• Strong Knowledge in end-to-end billing process and Insurance guideline and regulations with working knowledge of CPT, HCPCS and ICD-10 Codes, HCFA 1500 and UB04 Claim forms, HIPPA, Insurance Benefits and appeal processes
• Strong in People Management, Project Management and Quality Management
• Should be worked in large team size environment and handled 15+ FTE from all RCM Verticals such as Insurance Eligibility and Verification, Patient Demographic, Charge Entry, claim submission and fixing rejections, Payment Posting, A/R Follow-up, Denial management, correspondence and patient A/R
• Should be worked in such as Prosthetics and orthotics supply, Orthopedics, Pain Management, Chiropractic, Radiology, Sports Medicine, Physical Therapy, Family Practice…
• Experience of Multiple Billing software such as Nymbl, OPIE, ECW, Advance MD, Athena, Office Ally, MedEvolve, Allscripts, Cerner…
• Managing Daily operation such as productions, Quality and error tracking
• Ability to handle multiple projects concurrently
• Good in Strategies, Dashboards, Metrics and new concepts to bring better outcomes to meet client goal and internal by increasing better efficiency to generate more revenue

Responsibilities

• Responsible for Entire end to end delivery with high customer engagement/ Quality and Process Efficiency / Work force management
• Responsible to provide performance Report, as well responsible to highlight on the red flagged areas and to provide strategies to prevent all the loops proactively
• Meet client requirement based on SLA, maintain SOP based on client feedback and circulate to corresponding team.
• Participate in client call on need basis
• Responsible for month end financial closeout of the account and provide the billing information associated with clients for RCM revenues
• Prepare and analyze AR reports, weekly and monthly financial reports
• Analyzes trends impacting charges, coding, collections and AR and take appropriate action to realign staff and revise policies and procedures
• Responsible for work allocation, training, and problem resolutions, evaluates performances and provide recommendations for personnel actions; motivates employees to achieve peak productivity and performance
• Keep up to date with Payer rule changes and distribute and information to client and internal team
• Responsible for sharing weekly activity report