Lead RCM Specialist: Payer AR & Team Leader

AdaptHealth, LLC; Wichita Falls (TX); Vor Ort; USD 70.000 - 100.000; Vollzeit

Benefits dieser Stelle

Medical coverage

401k plan

Paid time off

Stock purchase plan

Parental leave

Disability insurance

Zusammenfassung

AdaptHealth, LLC is seeking a Lead Revenue Cycle Management Specialist to oversee insurance accounts receivable and mentor domestic and offshore teams. The role focuses on resolving escalations, reducing denials, and driving operational improvements across the RCM function.

The ideal candidate has strong leadership, payer policy knowledge, and analytical skills to optimize billing accuracy while ensuring HIPAA compliance. Competitive compensation and comprehensive benefits are provided.

Qualifikationen

• Associate degree or higher preferred; HS diploma required.

Aufgaben

• Provide day-to-day oversight, coaching, and mentorship to domestic and offshore RCM team members.
• Serve as the subject matter expert for payer AR, handling complex escalations and insurance disputes.
• Monitor team performance, identify skill gaps, and support training and development initiatives.
• Analyze payer trends, denial patterns, and workflow gaps; implement process improvements to optimize outcomes.
• Collaborate with leadership and cross-functional teams to improve billing accuracy and reduce rework.
• Develop and maintain SOPs, job aids, and training materials to standardize processes.
• Conduct deep-dive analyses and provide reporting insights to support business decisions.
• Support onboarding and ongoing education of team members on systems, workflows, and payer guidelines.
• Resolve escalated billing inquiries from patients and insurance providers with a focus on accuracy and service excellence.
• Partner cross-functionally to address account issues, reduce denials, and improve the overall patient financial experience.
• Ensure compliance with HIPAA and all regulatory standards in handling patient information.

Kenntnisse

Team leadership

Mentoring

Payer AR

Billing analysis

Data analysis

Ausbildung

Assoc degree

HS diploma

Jobbeschreibung

AdaptHealth, LLC is seeking a Lead Revenue Cycle Management Specialist to oversee insurance accounts receivable and mentor domestic and offshore teams. The role focuses on resolving escalations, reducing denials, and driving operational improvements across the RCM function.

The ideal candidate has strong leadership, payer policy knowledge, and analytical skills to optimize billing accuracy while ensuring HIPAA compliance. Competitive compensation and comprehensive benefits are provided.