Revenue Cycle Team Lead

The Revenue Cycle Lead is responsible for overseeing the daily operations of TMI Sports Medicine and Orthopedic Surgery's Revenue Cycle and Billing Department. The Lead serves as the operational leader for billing, payment posting, accounts receivable, and denial management workflows. This position ensures departmental productivity, quality, accountability, and timely completion of work while fostering an atmosphere of teamwork, customer service, and continuous process improvement. The Revenue Cycle Lead provides direct supervision, training, coaching, hiring support, performance management, and corrective action for Revenue Cycle staff while partnering with the Revenue Cycle Manager to achieve organizational goals., * Manage the day-to-day operations of the Revenue Cycle Department and related functional areas including billing, payment posting, accounts receivable follow-up, denial management, benefit verification, and authorizations.

• Directly supervise Revenue Cycle staff and ensure work assignments, queues, and departmental priorities are completed accurately and timely.
• Monitor employee productivity, quality, attendance, and departmental performance standards.
• Conduct onboarding, training, coaching, and ongoing development of Revenue Cycle employees.
• Participate in recruitment activities including interviewing, hiring recommendations, and onboarding of new staff members.
• Conduct performance evaluations and administer corrective actions, performance improvement plans, and employee coaching as necessary.
• Serve as the primary escalation resource for complex claim, denial, payment posting, eligibility, authorization, and reimbursement issues.
• Audit staff work to ensure compliance with payer guidelines, organizational policies, and departmental procedures.
• Maintain departmental workflows and ensure timely resolution of accounts receivable and claim follow-up activities.
• Monitor work queues and redistribute workloads as necessary to meet departmental goals.
• Identify operational inefficiencies and recommend workflow improvements to the Revenue Cycle Manager.
• Collaborate with clinical, scheduling, front office, and operational departments to resolve revenue cycle issues.
• Assist with implementation of departmental initiatives, process improvements, and special projects.
• Foster a culture of accountability, teamwork, customer service, and continuous improvement.
• Perform other duties as directed by the Revenue Cycle Manager, Director of Operations, or COO.
• Comply with all Organizational Policies, Procedures, and Personnel Policies.

Associate's degree in Business, Healthcare Administration, Accounting, or related field preferred. Equivalent experience may be substituted.

Specific Job Experience

• Minimum of 3-5 years working in healthcare revenue cycle or related field.
• Knowledge of medical billing, payment posting, accounts receivable, denials, eligibility, and authorizations.
• Proficiency in Microsoft Office Applications (Excel, Outlook, PowerPoint).
• Excellent computer skills and experience with practice management systems.
• Ability to maintain confidentiality and security of sensitive information.
• Excellent communication, organizational, and customer service skills.

Knowledge, Skills and Abilities

Must possess strong leadership, coaching, and team development skills. Ability to manage multiple priorities, resolve operational issues, and drive accountability within the department. Must possess in-depth knowledge of healthcare revenue cycle operations and payer requirements. Ability to effectively communicate with staff, providers, and leadership. Must be results-oriented with strong problem-solving skills and the ability to lead departmental change initiatives., Perform shift work

Exposure to toxic/chemical/detergents

Manage stress appropriately

Maneuver weight of patients

Exposure to extreme hot/cold conditions

Handle multiple priorities

Hear alarm/phone/equipment

Exposure to dust/fumes/drafts

Works alone

Manual dexterity (hand/eye coordination)

Exposure to moving mechanical parts

Manage anger/fear/hostility

/violence

Reach above shoulder

Exposure to potential electrical shock

Work in areas that are

confined and/or crowded

Repetitive arm/hand movement

Exposure to X-ray/electromagnetic energy

Finger dexterity

Exposure to high pitched noises

Working Conditions

Color vision

Exposure to communicable diseases

INSIDE [Specify major

conditions]

Acuity - Near

Exposure to pathogen exposure

Acuity - Far

Exposure to risk exposure

OUTSIDE [Specify major

conditions]

Depth perception

Use of latex gloves