Knack RCM
Website:
knackrcm.com
Job details:
TITLE – Team Lead, DME Billing
LOCATION: Mohali / Jaipur
EXPERIENCE: 7–10 Years
POSITION SUMMARY
We are seeking an experienced and results-driven Team Lead – DME Billing to lead a team of billing and revenue cycle professionals supporting US Healthcare clients. The role will be responsible for managing day-to-day DME billing operations, ensuring productivity, quality, compliance, and revenue optimization while driving operational excellence.
The ideal candidate should possess strong expertise in DME Billing, Medicare/Medicaid guidelines, Commercial Insurance billing, AR Management, Denials Management, and Team Leadership.
KEY RESPONSIBILITIES
Operations Management
- Manage and supervise a team of 25–30 billing professionals.
- Monitor daily billing, claims processing, payment posting, AR follow-up, and denial management activities.
- Ensure achievement of productivity, quality, and SLA targets.
- Drive revenue realization through effective claims management and AR recovery.
- Review operational reports and implement corrective actions to improve performance.
Team Leadership
- Conduct regular team huddles and performance reviews.
- Coach and mentor team members to improve productivity and quality.
- Identify training needs and coordinate learning interventions.
- Manage attendance, scheduling, workforce allocation, and leave planning.
- Build a high-performance and engagement-focused team culture.
Quality & Compliance
- Ensure compliance with Medicare, Medicaid, HIPAA, and payer-specific guidelines.
- Conduct regular audits to monitor billing accuracy.
- Minimize billing errors, rejections, and denials.
- Support process improvement and standardization initiatives.
Client & Stakeholder Management
- Support leadership with client reporting and operational reviews.
- Provide updates on KPI performance, risks, and action plans.
- Collaborate with Quality, Training, HR, and Reporting teams for business objectives.
Continuous Improvement
- Identify process gaps and recommend automation opportunities.
- Implement best practices to improve operational efficiency.
- Drive Lean and Six Sigma initiatives where applicable.
Educational Qualification
- Graduate in any discipline
- Preferred: MBA / Healthcare Management certification
- Relevant certifications in Healthcare RCM will be an added advantage
Desired Candidate Profile
- 7–10 years of experience in US Healthcare RCM/DME Billing.
- Minimum 2 years of experience as a Team Lead or Subject Matter Expert handling teams.
- Strong understanding of DME billing workflows and payer guidelines.
- Experience handling teams of 25+ FTEs.
- Excellent communication and stakeholder management skills.
- Ability to work in a fast-paced and performance-driven environment.
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