Team Leader- RCM - AR Denial Management.
- Neolytix provides management solutions aimed at igniting long-term success for healthcare providers nationwide.
- We provide a platform to incubate a conducive collaboration based on creating revenue and cost transformation within healthcare organizations.
- Work with a company where your work can make a real impact!.
- We are a boutique company respected and by our clients providing no-nonsense advice on key issues that impact them.
- Working at Neolytix.
- At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun!.
- Complimentary Medical Coverage for your Family.
- Retirements Savings Plan.
- Life & Disability Insurance.
- Participate in the Neolytix Pixel Workplace Rewards Program.
- Work with diverse team members across countries & cultures.
- Participate in Clubs based on your hobbies and share your passion with like minded community of colleagues.
- Fast Track your growth by participating in the Neolytix Business Incubation Program.
- Reduce carbon footprint - No office commute required.
Who are we looking for?.
As a Team Manager for the Claims Denial Management Process within our Revenue Cycle Management department, you will lead a team of denial management specialists responsible for analyzing and resolving claim denials to maximize revenue and minimize revenue leakage.
This role plays a pivotal part in ensuring efficient and effective denial resolution, improving cash flow, and optimizing the revenue cycle.
Work from Office Position.
- 1 to 5 years experience as a Team Lead.
- Highly Organized.
- Superior Moral Compass and Work Ethics.
- Operations Management - You excel at aligning client requirements into daily KPI's that drive operations excellence.
- People Coach - Motivate and inspire your team to excel.
- Payment Posting SME - Can provide guidance to the team on difficult cases.
- Analytical & Problem Solving skills.
- Can Communicate with & Present to Clients.
- Proficiency in medical coding systems (e. , CPT, ICD-10, HCPCS).
- Strong knowledge of healthcare billing and reimbursement processes.
- Proficient in using healthcare information systems and billing software.
- Ability to analyze data and generate reports.
- Demonstrated problem-solving and process improvement skills. Certification in medical coding (e. , CPC) is a plus.
Key Responsibilities:.
Team Leadership:.
- Lead and supervise a team of payment posting specialists.
- Set clear performance expectations and provide regular feedback and coaching.
- Foster a positive and collaborative team environment.
- Manage workload distribution and ensure equitable work allocation.
Denial Management:.
- Oversee the analysis and resolution of claim denials, including payer and provider-side discrepancies.
- Develop and implement strategies to reduce denial rates and increase reimbursement.
- Collaborate with other departments to address root causes of denials and prevent recurrence.
- Monitor and manage denial aging, ensuring timely resolution.
Quality Assurance:.
- Implement and maintain quality control measures to reduce errors in charge entry.
- Conduct regular audits of charge entries to identify and address discrepancies.
- Provide training and guidance to team members on coding and documentation requirements.
Performance Reporting:.
- Generate and analyze reports related to Denials productivity and accuracy.
- Analyze denials to build effective strategies to maximize revenue.
- Develop and track key performance indicators (KPIs) for the team.
- Provide regular performance updates to the Revenue Cycle Manager.
Process Improvement:.
- Identify opportunities for process improvement and workflow optimization.
- Collaborate with cross-functional teams to implement process enhancements.
- Stay up-to-date with industry trends and regulatory changes affecting charge entry.
Compliance:.
- Ensure that charge entry practices adhere to all relevant healthcare regulations, including HIPAA.
- Stay informed about changes in coding and billing regulations and communicate updates to the team.
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