
Team Lead for US Medical Billing Division
Upwork
Remoto
•7 hours ago
•No application
About
Industry: Healthcare Technology / Revenue Cycle Management (RCM) Hours: Full-Time, US Business Hours (e.g., 8 AM - 5 PM EST) Salary: Competitive USD Rate (Based on experience) Job Overview We are a rapidly growing US healthcare technology company that is revolutionizing healthcare payments by leveraging Artificial Intelligence (AI) to bring speed, accuracy, and transparency to the Revenue Cycle Management (RCM) process. We are seeking an exceptional and highly experienced Team Lead to oversee multiple specialized divisions within our RCM operations. This is a critical leadership role that will manage teams focused on high-value RCM functions, including Denial Management, Accounts Receivable (AR) Follow-up, and Billing/Coding for specialized medical practices. You will be instrumental in driving team performance, ensuring billing accuracy, and optimizing processes using our proprietary AI tools. Key Responsibilities Team Leadership & Management: Directly supervise, train, and mentor a remote team of specialized Billing and RCM Associates across multiple divisions (e.g., Denial Management, AR Follow-up). Performance Monitoring: Set clear performance metrics (KPIs) for each team, monitor daily productivity and quality assurance (QA) scores, and conduct regular performance reviews. Process Excellence: Develop, document, and enforce standardized billing, follow-up, and denial resolution workflows to ensure maximum reimbursement and compliance. Denial Strategy: Lead the Denial Management division, performing root cause analysis on recurring denials and developing strategic, effective appeal processes. AR Optimization: Drive efficiency in the AR Follow-up team to quickly resolve outstanding claims, minimize days in AR, and improve client cash flow. AI Integration: Actively utilize and provide feedback on our AI billing platform to identify areas for automation and efficiency gains within your teams' workflows. Escalation Point: Serve as the primary point of escalation for complex billing issues, payer disputes, and high-value denials. Required Skills & Experience 3+ years of direct, hands-on experience in end-to-end US Healthcare RCM (Billing, AR, and Denial Management). 1+ year of experience in a Team Lead, Supervisor, or Managerial role overseeing a US medical billing team. In-depth knowledge of insurance claim filing (CMS-1500, UB-04), denial codes, payer policies, and appeal processes for major US payers. Proven ability to analyze RCM data (e.g., denial rates, collection rates) and implement effective process improvements. Strong leadership, coaching, and organizational skills, with a focus on managing a high-performing remote team. Specialized Expertise (A Major Advantage) Candidates with experience in any of the following specialties or technologies will be highly competitive: Specialty Billing Experience: Experience with Mental Health, Orthopaedic, and/or Dermatology billing. AI Billing Experience: Prior exposure to or experience with AI-powered billing systems or advanced RCM automation tools.