Team Lead – Revenue Cycle Management (Onsite)

We are seeking a dedicated and experienced Team 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.

What You’ll Do:

• 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

What We’re Looking For:

• 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.