Overview
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The Team Leader – RCM is responsible for providing team support within the revenue cycle department. This role focuses on ensuring quality and productivity while overseeing the daily operations of the team. The incumbent of this role is proactive, well organized, exhibits good time management, and is adaptable to the high-velocity nature of revenue oversight.
At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska.
The base pay estimate for this role is $21.97 - $35.14 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.
Job Highlights
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ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)
- Provides day-to-day guidance, mentoring, and support to the RCM department.
- Assists the team in resolving complex claim issues and member escalations, identifies trends, and ensures timely and effective resolutions.
- Recommends and coordinates training opportunities to enhance RCM member skills and knowledge.
- Identifies process improvement opportunities and participates in operational initiatives.
- Collaborates with internal and external stakeholders to resolve complex issues and improve overall credit/refund performance.
- Establishes effective communication channels to ensure alignment between departments.
- Actively works and monitors the escalation queue to ensure timely resolution of tasks.
- Analyzes escalation trends and provides real-time and scheduled feedback to team members.
- Delivers targeted training and coaching to enhance team members’ understanding of escalation scenarios and best practices.
- Serves as the primary point of contact for complex or sensitive escalation cases.
- Creates and processes the weekly refund check utility file in accordance with established timelines and quality standards.
- Assists with all refund reports and projects as needed.
- Helps onboard and mentor new team members, reinforcing departmental policies and procedures.
- Provides backup coverage and support to the supervisor or manager when needed.
- All other duties or projects as assigned.
Qualifications
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KNOWLEDGE/SKILLS/ABILITIES (KSAs):
- Bachelor's degree in a related field preferred.
- 2+ years of experience in a lead or supervisory role with a proven track record of team development and mentoring.
- 3+ years of experience in revenue cycle management, specifically in collections and/or denial management.
- Strong understanding of healthcare billing principles, insurance claims processing, and reimbursement methodologies.
- Analytical mindset with the ability to interpret data and generate meaningful insights.
- Strong problem solving and decision-making abilities.
- Exceptional communication and interpersonal skills.
*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Occasional Standing
- Occasional Walking
- Frequent Sitting
- Frequent hand, finger movement
- Use office equipment (in office or remote)
- Communicate verbally and in writing
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
