Obvious
Website:
obvs.ai
Job details:
Job Title: RCM – Operations Team Lead
Department: Revenue Cycle Management (RCM)
Industry: Healthcare
Reporting To: Operations Manager / RCM Manager
Working Days: 6 days
Rotational Shift:
Morning : 7 am to 3 pm IST
Evening : 3 pm to 11 pm IST
Night : 11 pm to 7 am IST
Role Summary
The RCM Operations Team Lead will be responsible for managing day-to-day revenue cycle operations, ensuring accuracy in billing and collections, improving process efficiency, and leading a team to achieve performance targets.
Key Roles & Responsibilities
1. Operational Management
- Oversee end-to-end RCM processes.
- Monitor daily productivity and quality metrics of the team.
- Ensure compliance with payer guidelines, HIPAA regulations, and healthcare billing standards.
- Ensure timely claim submission and follow-up to meet revenue targets.
2. Team Leadership & Supervision
- Manage and guide a team of RCM Executives/Analysts.
- Conduct daily huddles and weekly performance reviews.
- Identify training needs and coordinate refresher sessions.
- Provide feedback and performance improvement plans (PIP) where required.
- Ensure adherence to attendance, shift schedules, and discipline standards.
3. Quality & Compliance
- Conduct periodic quality audits of claims, and follow-up documentation.
- Ensure SOP adherence and update process documentation as needed.
- Maintain compliance with HIPAA and client-specific policies.
- Support internal and external audits.
5. Process Improvement & Reporting
- Analyze operational data.
- Identify root causes for revenue leakage and implement corrective measures.
- Drive automation or process enhancement initiatives.
- Prepare MIS reports and dashboards for leadership review.
- Escalate critical issues proactively with resolution plans.
Required Qualifications
- Bachelor’s degree (Healthcare Administration, Life Sciences, Commerce or related field preferred).
- 3–4 years of experience in Healthcare RCM.
- Minimum 1–2 years of team handling experience.
- Strong understanding of US Healthcare billing process and payer guidelines.
Click on Apply to know more.