T3Cogno
Website:
t3cogno.com
Job details:
Job Description – Team Leader (Hospital Billing) | US Healthcare | Revenue Cycle Management (RCM)
Position: Team Leader – Hospital Billing
Department: Revenue Cycle Management (RCM) – US Healthcare
Location : Mysore
Shift: Night Shift (US Shift)
Job Summary
We are looking for an experienced Team Leader – Hospital Billing to lead a team of Hospital Billing (HB) associates within the US Healthcare Revenue Cycle Management (RCM) process. The ideal candidate will have strong expertise in hospital billing, claims management, denial resolution, team handling, and client communication while ensuring productivity, quality, and SLA adherence.
Key Responsibilities
- Lead and manage a team of Hospital Billing associates.
- Monitor daily productivity, quality, and turnaround time (TAT) to meet client SLAs.
- Review billing processes to ensure timely and accurate claim submission.
- Analyze and resolve billing issues, claim rejections, and denials.
- Coach and mentor team members to improve performance and process knowledge.
- Conduct regular team huddles, one-on-one meetings, and performance reviews.
- Prepare and present daily, weekly, and monthly operational reports.
- Collaborate with Quality, Training, and Operations teams to improve process efficiency.
- Ensure compliance with HIPAA, client guidelines, and organizational policies.
- Handle client escalations and provide timely resolutions.
- Drive continuous process improvement initiatives.
Required Skills & Qualifications
- Bachelor's degree in any discipline.
- 6–10+ years of experience in US Healthcare Hospital Billing (Revenue Cycle Management).
- Minimum 1–2 years of experience as a Team Leader/Group Leader in Hospital Billing.
- Strong understanding of:
- Charge Entry
- Claims Submission
- Payment Posting
- Accounts Receivable (AR)
- Denial Management
- Appeals & Follow-up
- Knowledge of Medicare, Medicaid, and Commercial Insurance.
- Experience working with billing software and EMR/EHR systems.
- Excellent communication, analytical, and leadership skills.
- Strong proficiency in MS Excel and reporting.
Preferred Skills
- Experience handling client interactions.
- Exposure to KPI, SLA, productivity, and quality management.
- Ability to manage team performance and improve operational efficiency.
- Experience in process transitions and stakeholder management is an added advantage.
Key Performance Indicators (KPIs)
- Team Productivity
- Quality Score
- Claims Resolution Rate
- Denial Reduction
- SLA Compliance
- Team Attrition & Attendance
- Client Satisfaction
Notice Period Preference: Immediate Joiners or candidates with a short notice period preferred.
WHO CAN APPLY
"TEAM LEADERS
GROUP CO ORDINATOR "CAN APPLY
BUDGET :- MAX 8.5LPA
Only SOUTH CANDIDATES CAN APPLY OR LOCALITES SHOULD APPLY
Click on Apply to know more.