Team Lead DME Billing RCM

Role & responsibilities

• Lead and manage a team of 25-30 DME Billing professionals.
• Monitor daily billing operations, claims processing, payment posting, AR follow-up, and denial management activities.
• Ensure achievement of productivity, quality, accuracy, and SLA targets.
• Drive collections and revenue realization through effective claim management and AR recovery.
• Analyze operational reports, dashboards, and productivity metrics.
• Conduct regular team huddles, one-on-one sessions, and performance reviews.
• Coach, mentor, and develop team members to improve productivity and quality.
• Manage staffing, attendance, scheduling, and workforce allocation.
• Ensure compliance with Medicare, Medicaid, HIPAA, and payer-specific billing guidelines.
• Conduct quality audits and implement corrective action plans.
• Support client reporting, operational reviews, and escalation management.
• Collaborate with Quality, Training, HR, and MIS teams to achieve business objectives.
• Identify process improvement opportunities and drive operational excellence initiatives.
• Support automation and workflow optimization projects.

Preferred candidate profile

• 7-10 years of experience in US Healthcare Revenue Cycle Management (RCM).
• Minimum 5 years of experience as a Team Lead / Assistant Team Lead / SME handling teams.
• Experience managing teams of 25+ FTEs.
• Strong understanding of:
• DME Billing
• Accounts Receivable (AR)
• Denial Management
• Payment Posting
• Claims Processing
• Medicare & Medicaid Billing
• Commercial Insurance Billing
• Revenue Cycle Management
• Excellent communication and stakeholder management skills.
• Strong analytical and problem-solving abilities.
• Ability to work in a fast-paced, performance-driven environment.

Educational Qualification

UG: Any Graduate

Preferred:

• MBA
• Healthcare Management Certification
• Healthcare RCM Certification