Team Lead
TapTalent.ai
Date: 3 weeks ago
City: Pasig City
Contract type: Full time

We're Hiring: Team Lead!
We are seeking a dedicated and experiencedTeam Lead – Revenue Cycle Management (RCM)to lead a growing offshore team supporting Paradigm Seniors, a US-based healthcare provider. The ideal candidate will be responsible for day-to-day team management, performance monitoring, client delivery, KPI adherence, and continuous improvement of the revenue cycle operations, including medical billing, collections, and payment posting.
This role requires hands-on experience in US healthcare RCM processes, excellent analytical and leadership skills, and a commitment to delivering operational excellence and value to the client.
Responsibilities
Ready to lead with impact? Apply now and let’s achieve greatness together!
We are seeking a dedicated and experiencedTeam Lead – Revenue Cycle Management (RCM)to lead a growing offshore team supporting Paradigm Seniors, a US-based healthcare provider. The ideal candidate will be responsible for day-to-day team management, performance monitoring, client delivery, KPI adherence, and continuous improvement of the revenue cycle operations, including medical billing, collections, and payment posting.
This role requires hands-on experience in US healthcare RCM processes, excellent analytical and leadership skills, and a commitment to delivering operational excellence and value to the client.
Responsibilities
- Lead, mentor, and manage a team of RCM specialists handling billing, collections, and payment posting activities.
- Oversee daily operations to ensure timely, accurate, and compliant execution of RCM processes.
- Act as the single point of contact for the client for delivery updates, escalations, and issue resolution.
- Monitor workload distribution, track productivity, and optimize team performance.
- Ensure adherence to HIPAA compliance and company policies.
- Track and report on agreed SLAs and KPIs, including denial resolution rate, days in A/R, payment posting accuracy, and claim rejection rates.
- Conduct weekly/monthly performance reviews and share insights with internal and client stakeholders.
- Drive client satisfaction through proactive communication, timely reporting, and issue resolution.
- Conduct regular audits and root cause analyses for denials, underpayments, and billing errors.
- Leverage reporting tools (Power BI, Excel dashboards, etc.) to identify trends and improvement opportunities.
- Lead initiatives to streamline workflows, enhance process compliance, and automate repetitive tasks where applicable.
- Facilitate knowledge sharing sessions, process trainings, and upskilling programs for the teams
- Minimum of 5-7 years of experience in US healthcare revenue cycle operations, with at least 1–2 years in a team lead or supervisory role.
- Strong understanding of medical billing, denial management, collections, payment posting, and related compliance guidelines (e.g., HIPAA).
- Proficient in billing and EMR software, including familiarity with EOBs, ERAs, UB04, and HCFA 1500 forms.
- Knowledge of payer-specific rules and processes, including Medicaid, Medicare Advantage, VA, and Workers' Compensation.
- Solid experience in using healthcare billing codes (CPT, ICD-10).
- Demonstrated success in improving A/R performance and reducing denials.
- Proficiency in MS Office tools, particularly Excel (VLOOKUP, Pivot Tables, etc.); Power BI exposure is a plus.
- Excellent communication, stakeholder management, and problem-solving skills.
- Bachelor’s degree in healthcare administration, Accounting, or a related field.
- Experience working in a BPO or offshore environment.
- Exposure to Electronic Health Record (EHR) systems and clearinghouses.
- Ability to work US shifts, if required, to ensure alignment with client time zones.
Ready to lead with impact? Apply now and let’s achieve greatness together!
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