RCM Team Lead- Medical Billing Experience

Netsmart; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading company in healthcare software is seeking an RCM Team Lead with medical billing experience to manage day-to-day billing processes. The successful candidate will train and evaluate team members, build client relationships, and ensure performance standards are met. This full-time remote position offers competitive pay with comprehensive benefits.

Qualifications

• Minimum 2 years in customer service and medical billing.
• Knowledge of medical billing compliance regulations required.
• Experience managing teams and customer escalations preferred.

Responsibilities

• Lead team accountable for managing billing processes.
• Build relationships balancing client and team needs.
• Communicate client issues effectively and propose KPI improvements.

Skills

Customer service

Team management

Medical billing

Communication

Forecasting

Education

High school diploma or GED

Tools

Microsoft Office Suite

Job description

RCM Team Lead- Medical Billing Experience

Pay Competitive

Location Remote

Employment type Full-Time

Job Description

Req#: R014205 Lead team accountable for managing day-to-day billing processes and procedures for assigned clients to ensure optimal outcomes for the financial health of both Netsmart and our clients.

Responsibilities

• Manage, coach, train, recognize and evaluate associates to foster a productive team environment

• Build strong working relationships that balance the needs of our clients, associates and Netsmart

• Address and effectively communicate client issues; escalate as appropriate

• Assist with forecasting appropriate staffing based on incoming work logs

• Understand and manage to relevant performance indicators including days in A/R, cash/net revenue, A/R aging, denials management, credit balances

• Propose, execute and complete effective KPI improvement plans

• Complete regular and ad hoc reporting as required

• Ensure team meets productivity and quality standards and maintains healthy client relationships

Qualifications
Required

• High school diploma or GED

• At least 2 years of customer service work experience.

• At least 2 years of medical billing, cash posting, and charge entry experience.

• Proficient in Microsoft Office Suite including Excel, Outlook, and Word

• Demonstrate in-depth knowledge of the behavioral or post-acute healthcare industry.

• Knowledge of medical billing compliance regulations and requirements

• Understanding of major insurance payers and reimbursement methodologies

Preferred

• Experience handling customer escalations and resolving complex issues in a call center environment

• Medical coding certification such as a Certified Professional Coder (CPC)

• Experience with revenue cycle KPIs and analytics

• People management experience including staffing decisions, coaching and developing associates and providing career development planning and opportunities

Expectations

• Comfortable with remote work arrangements and virtual collaboration tools

• Physical demands include extended periods of sitting, computer use, and telephone communication

Skills for Success

• Develops Talent: Developing people to meet both their career goals and the organization's goals

• Directs Work: Providing direction, delegation and removing obstacles to get work done

• Builds effective teams: Building strong-identity teams that apply their diverse skills and perspectives to achieve common goals

• Communicates effectively: Developing and delivering multi-modal communications that convey a clear understanding of the unique needs of different audiences

• Action oriented: Taking on new opportunities and touch challenges with a sense of urgency, high energy and enthusiasm

Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.

Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider.

If you are located in a state which grants you the right to receive information on salary range, pay scale, description of benefits or other compensation for this position, please use this form to request details which you may be legally entitled.

All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.

Netsmart's Job Applicant Privacy Notice may be found here .

About the company

At Netsmart, improving care delivery isn’t just our aspiration, it’s our passion.For more than 50 years, we’ve been a healthcare software company developing technology and providing services that support individualized care and improve outcomes.

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