Medical Billing Team Lead - US RCM Operations & Workflow Management

Job Summary: Progressive Technology is seeking a skilled and motivated Medical Billing Team Lead to join our US-based Revenue Cycle Management (RCM) Operations. As the Team Lead, you will play a pivotal role in overseeing a dynamic team of billing specialists, ensuring that all medical billing procedures are executed accurately and efficiently. You will be responsible for managing workflows, ensuring compliance with healthcare regulations, and optimizing the billing process to achieve the best results for our clients. This is an exciting opportunity to contribute to the success of a growing company while working in a collaborative, supportive environment. Key Responsibilities:

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Lead, manage, and mentor a team of medical billing specialists within the RCM department.

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Oversee the day-to-day operations of the medical billing team, ensuring timely and accurate billing for all healthcare providers.

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Ensure compliance with all relevant healthcare regulations, including HIPAA and insurance requirements.

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Review and resolve billing discrepancies, denials, and rejections from insurance companies, ensuring proper follow-up and resolution.

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Collaborate with healthcare providers, insurance companies, and other stakeholders to ensure smooth billing processes.

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Conduct regular audits of billing activities to identify areas for improvement and implement corrective actions.

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Develop and maintain accurate reports on billing performance, team productivity, and error rates.

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Provide training and guidance to team members on billing best practices, software usage, and regulatory compliance.

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Coordinate with management to optimize workflows and improve operational efficiency.

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Ensure timely submission of claims and follow up on unpaid or denied claims to maximize revenue.

• Required Skills and Qualifications:
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Proven experience in medical billing, with at least 3-5 years in a supervisory or team lead role within the RCM industry.

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In-depth knowledge of US healthcare billing processes, insurance policies, and coding systems (CPT, ICD-10, HCPCS).

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Strong understanding of billing software and electronic claims submission platforms.

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Excellent leadership and team management skills, with the ability to motivate and develop team members.

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Strong communication and interpersonal skills, with the ability to work effectively with healthcare providers, clients, and insurance companies.

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Exceptional attention to detail, problem-solving skills, and the ability to analyze complex billing issues.

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Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint).

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Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

• Experience:
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At least 3-5 years of experience in medical billing or revenue cycle management (RCM).

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A minimum of 1-2 years of experience in a leadership or supervisory role, preferably in the US RCM healthcare setting.

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Experience with medical billing software (such as Epic, NextGen, or similar platforms).

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Familiarity with insurance regulations, payer requirements, and claim management processes.

• Working Hours:
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Full-time position (40 hours per week).

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Monday to Friday, 9:00 AM to 6:00 PM (flexible working hours may be available depending on client needs).

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Occasional overtime may be required to meet deadlines and manage peak billing periods.

• Knowledge, Skills, and Abilities:
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Knowledge: In-depth understanding of healthcare billing codes, insurance requirements, and the revenue cycle process.

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Skills: Excellent leadership and team-building skills; strong analytical and problem-solving abilities; proficiency in medical billing software and reporting tools.

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Abilities: Ability to manage multiple tasks simultaneously while maintaining a high level of accuracy; ability to provide constructive feedback and training to team members; strong decision-making abilities under pressure.

• Benefits:
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Competitive salary and performance-based bonuses.

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Comprehensive health insurance (medical, dental, vision).

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Retirement savings plan with company matching.

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Paid time off (PTO), sick leave, and holiday pay.

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Flexible work arrangements, including the option for remote work.

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Professional development and training opportunities.

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Supportive and collaborative work environment.

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Employee wellness programs and activities.

• Why Join Us:

At Progressive Technology, we are committed to fostering a culture of excellence and innovation. As a Medical Billing Team Lead, you will have the opportunity to make a direct impact on the success of our clients and the healthcare industry. Our company values work-life balance, career growth, and continuous learning, ensuring that every team member has the tools they need to succeed and thrive in their role. Join us and become part of a team that is dedicated to transforming the future of healthcare billing. How to Apply: To apply, please submit your updated resume along with a cover letter detailing your experience and why you are an ideal candidate for this role. Ensure that your application highlights your leadership experience in medical billing and revenue cycle management. Apply by email to us. Progressive Technology is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply tot his job Apply To this Job