RCM Team Lead (Onsite in Davao with 25% Night Differential)

Connext; Davao Region; Vor Ort; PHP 600.000 - 1.000.000; Vollzeit

Benefits dieser Stelle

Night differential 25%

Onsite in Davao

Life insurance

HMO Insurance

Annual Merit Increase

Great company culture

Zusammenfassung

Connext Global Solutions is seeking an RCM Team Lead to oversee daily insurance verification, prior authorization, and referral processes for a U.S. client. You will supervise and coach the team, monitor workflows for quality and productivity, and resolve complex billing and payer issues while ensuring HIPAA compliance.

The role involves guiding performance, conducting coaching sessions, and coordinating workforce planning. Onsite in Davao with competitive compensation and benefits.

Qualifikationen

• Minimum 3 years in US healthcare RCM functions (billing, verification, prior authorizations).
• At least 1 year in leadership or coaching roles.
• Experience with eCW and practice management systems required.

Aufgaben

• Oversee daily insurance verification, prior authorization, and referrals processes.
• Coach and mentor team members; monitor productivity and quality.
• Serve as escalation point for complex billing and payer issues.
• Ensure HIPAA compliance and drive process improvements.
• Assist management with workforce planning and scheduling.

Kenntnisse

Leadership

Coaching

Team management

Ausbildung

High school diploma or equivalent

Tools

eClinicalWorks (eCW)

Practice management systems

Microsoft Office

Jobbeschreibung

Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for an RCM Team Lead who will be working with Connext's Client in the United States of America.

What's in it for you?

• Competitive compensation
• Perfect Attendance Bonus
• Life insurance
• HMO Insurance
• Great company culture
• Annual Merit Increase
• 25% Night Differential
• Onsite in Davao

What is the job?

The RCM Team Lead is responsible for overseeing daily insurance verification, prior authorization, and referral processes, ensuring accurate and timely approvals and compliance with payer requirements. The role supervises team performance, provides coaching and quality oversight, resolves insurance-related escalations, ensures HIPAA compliance, and drives operational improvements.

• Lead, train, onboard, and mentor new and existing team members to ensure successful performance and adherence to company standards
• Monitor daily workflows, productivity, quality, and service levels to meet operational goals and client expectations
• Conduct regular coaching sessions, performance reviews, and quality audits to identify strengths and opportunities for improvement
• Serve as the primary escalation point for complex billing, insurance, and patient account issues
• Foster a collaborative, accountable, and positive team culture focused on continuous improvement and excellence
• Assist management in workforce planning, scheduling, and resource allocation

Required Qualifications:

• High school diploma or equivalent required.
• Minimum of three (3) years of experience in U.S. healthcare revenue cycle management (RCM), particularly in medical billing, insurance verification, prior authorizations, referrals, or related functions.
• Minimum of one (1) year of leadership, supervisory, team lead, SME, or coaching experience.
• Experience working with eClinicalWorks (eCW).
• Experience with practice management systems, EHRs, and Microsoft Office applications.