Team Leader – Revenue Cycle Management (Hospital Billing)

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

Job summary

A hospital billing solutions provider in Chennai is seeking a Team Leader – Revenue Cycle Management. In this role, you will oversee the billing team, ensuring regulatory compliance. Responsibilities include supervising staff, monitoring performance metrics, and managing complex escalations. Candidates should have over 5 years of RCM experience and strong knowledge of Medicare/Medicaid billing. Interested applicants should send their CV and cover letter to the provided email address.

Qualifications

• 5+ years of hospital RCM experience.
• 2+ years of supervisory experience.
• Strong knowledge of UB-04 claims, Medicare/Medicaid billing.

Responsibilities

• Supervise AR Specialists and Denial Management staff.
• Monitor daily productivity, quality, and aging reports.
• Conduct internal quality audits.

Skills

Hospital RCM experience

Supervisory experience

Knowledge of UB-04 claims

Medicare/Medicaid billing

Analytical skills

Leadership skills

Tools

ECW

Meditech

Job description

Job Summary

The Team Leader – RCM oversees daily operations of the hospital billing team, including Accounts Receivable (AR) and Denials Management. This role ensures compliance with payer guidelines (e.g., Centers for Medicare & Medicaid Services (CMS)), HIPAA regulations, and hospital policies while driving key performance indicators (KPIs) such as Days in AR, Cash Collections, Denial Rate, and Clean Claim Rate.

Qualifications

• 5+ years of hospital RCM experience
• 2+ years of supervisory experience
• Strong knowledge of UB-04 claims, Medicare/Medicaid billing
• Experience with hospital billing systems (ECW and Meditech)
• Strong analytical and leadership skills

Key Responsibilities

• Supervise AR Specialists and Denial Management staff.
• Allocate workloads based on payer mix (e.g., Aetna, Cigna, UnitedHealthcare, Medicare, Medicaid).
• Monitor daily productivity, quality, and aging reports.
• Conduct team huddles to review performance metrics and priority accounts.
• Track and manage:
  • Days in AR
  • AR > 90/120 days
  • First Pass Resolution Rate (FPRR)
  • Denial Rate
  • Net Collection Rate
• Identify revenue leakage and implement corrective action plans.
• Handle complex escalations from payers and patients.
• Coordinate with corresponding teams for claim corrections.
• Manage high-dollar and aged accounts personally when needed.
• Ensure adherence to CMS billing guidelines and payer-specific rules.
• Conduct internal quality audits.
• Provide ongoing training on billing updates, payer policies, and system changes.
• Mentor team members and develop performance improvement plans.

How to Apply

Interested candidates can send your portfolio with updated CV and a brief cover letter to [e-mail] with the subject line "Team Leader – Revenue Cycle Management (Hospital Billing)".